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. 1985;83:181–204.

Expulsive hemorrhage: its incidence in cataract surgery and a report of four bilateral cases.

J W Payne, A J Kameen, A D Jensen, N E Christy
PMCID: PMC1298696  PMID: 3832526

Abstract

Between 1978 and 1983, 13,890 cataract extractions were performed in Baltimore at JHH and the GBMC with 14 expulsive hemorrhages for an incidence of 0.10%. In the years 1963 through 1983, 180,690 cataract extractions were performed in Taxila, Pakistan with 87 expulsive hemorrhages for an incidence of 0.05%. Reasons for the significant differences in incidence are presented. The six reported cases of bilateral expulsive hemorrhage are reviewed. Four more cases are added. A classification of choroidal hemorrhage is presented.

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Selected References

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  1. Bair H. L. Expulsive hemorrhage at cataract operation. Report of a case and an additional recommendation for its management. Am J Ophthalmol. 1966 May;61(5 Pt 2):992–994. [PubMed] [Google Scholar]
  2. Bellows A. R., Chylack L. T., Jr, Epstein D. L., Hutchinson B. T. Choroidal effusion during glaucoma surgery in patients with prominent episcleral vessels. Arch Ophthalmol. 1979 Mar;97(3):493–497. doi: 10.1001/archopht.1979.01020010243011. [DOI] [PubMed] [Google Scholar]
  3. CAHN P. H., HAVENER W. H. SPONTANEOUS MASSIVE CHOROIDAL HEMORRHAGE. WITH PRESERVATION OF THE EYE BY SCLEROTOMY. Am J Ophthalmol. 1963 Oct;56:568–571. [PubMed] [Google Scholar]
  4. CORDES F. C. Linear extraction in congenital cataract surgery. Am J Ophthalmol. 1961 Sep;52:355–360. doi: 10.1016/0002-9394(61)90733-4. [DOI] [PubMed] [Google Scholar]
  5. François P., Wannebroucq C., Guilbert-Legrand Les hémorragies expulsives. A propos de 6 cas. Bull Soc Ophtalmol Fr. 1966 May-Jun;66(5):579–585. [PubMed] [Google Scholar]
  6. Goren S. B. Expulsive subchoroidal hemorrhage following cataract surgery. Am J Ophthalmol. 1966 Sep;62(3):536–537. doi: 10.1016/0002-9394(66)91338-9. [DOI] [PubMed] [Google Scholar]
  7. Gressel M. G., Parrish R. K., 2nd, Heuer D. K. Delayed nonexpulsive suprachoroidal hemorrhage. Arch Ophthalmol. 1984 Dec;102(12):1757–1760. doi: 10.1001/archopht.1984.01040031421015. [DOI] [PubMed] [Google Scholar]
  8. Henderson J. W. Expulsive Subchoroidal Hemorrhage associated with Cataract Extraction: Report of a Case with Survival of the Eye. Trans Am Ophthalmol Soc. 1959;57:195–209. [PMC free article] [PubMed] [Google Scholar]
  9. Henderson J. W. Expulsive Subchoroidal Hemorrhage associated with Cataract Extraction: Report of a Case with Survival of the Eye. Trans Am Ophthalmol Soc. 1959;57:195–209. [PMC free article] [PubMed] [Google Scholar]
  10. Hoffman P., Pollack A., Oliver M. Limited choroidal hemorrhage associated with intracapsular cataract extraction. Arch Ophthalmol. 1984 Dec;102(12):1761–1765. doi: 10.1001/archopht.1984.01040031425016. [DOI] [PubMed] [Google Scholar]
  11. Holland G. Zur Klinik der expulsiven Blutung nach Kataraktoperation. Klin Monbl Augenheilkd. 1966;149(6):859–864. [PubMed] [Google Scholar]
  12. MUELLER H. Expulsive haemorrhage. Trans Ophthalmol Soc U K. 1959;79:621–633. [PubMed] [Google Scholar]
  13. PAU H. Der Zeitfaktor bei der expulsiven Blutung. Klin Monbl Augenheilkd Augenarztl Fortbild. 1958;132(6):865–869. [PubMed] [Google Scholar]
  14. Perry H. D., Hsieh R. C., Evans R. M. Malignant melanoma of the choroid associated with spontaneous expulsive choroidal hemorrhage. Am J Ophthalmol. 1977 Aug;84(2):205–208. doi: 10.1016/0002-9394(77)90853-4. [DOI] [PubMed] [Google Scholar]
  15. Ruiz R. S., Salmonsen P. C. Expulsive choroidal effusion. A complication of intraocular surgery. Arch Ophthalmol. 1976 Jan;94(1):69–70. doi: 10.1001/archopht.1976.03910030027008. [DOI] [PubMed] [Google Scholar]
  16. Savir H. Expulsive choroidal effusion during cataract surgery (in a case with Fuchs' heterochromic cyclitis). Ann Ophthalmol. 1979 Jan;11(1):113–115. [PubMed] [Google Scholar]
  17. Shaffer R. N. Posterior sclerotomy with scleral cautery in the treatment of expulsive hemorrhage. Am J Ophthalmol. 1966 May;61(5 Pt 2):1307–1311. doi: 10.1016/0002-9394(66)90260-1. [DOI] [PubMed] [Google Scholar]
  18. Taylor D. M. Expulsive hemorrhage: some observations and comments. Trans Am Ophthalmol Soc. 1974;72:157–169. [PMC free article] [PubMed] [Google Scholar]
  19. VAIL D. Subchoroidal expulsive hemorrhage occurring during thiopental sodium (sodium pentothal) anesthesia; its treatment by sclerotomy. Arch Ophthal. 1949 Nov;42(5):562-6, illust. doi: 10.1001/archopht.1949.00900050572006. [DOI] [PubMed] [Google Scholar]
  20. Williams D. K., Rentiers P. K. Spontaneous expulsive choroidal hemorrhage. A clinicopathologic report of two cases. Arch Ophthalmol. 1970 Feb;83(2):191–194. doi: 10.1001/archopht.1970.00990030193012. [DOI] [PubMed] [Google Scholar]
  21. Winslow R. L., Stevenson W., 3rd, Yanoff M. Spontaneous expulsive choroidal hemorrhage. Arch Ophthalmol. 1974 Jul;92(1):33–36. doi: 10.1001/archopht.1974.01010010037009. [DOI] [PubMed] [Google Scholar]
  22. Wolter J. R. Expulsive hemorrhage: a study of histopathological details. Graefes Arch Clin Exp Ophthalmol. 1982;219(4):155–158. doi: 10.1007/BF02156839. [DOI] [PubMed] [Google Scholar]

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