Cases reported "Vitreous Hemorrhage"

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1/4. Intraoperative ocular damage caused by a cannula.

    We report a case in which posterior capsule rupture, vitreous loss, and vitreous hemorrhage were caused by a dislodged, flying cannula during phacoemulsification. We modified our surgical practice since the occurrence of this unusual complication and use Luer-lock syringes during surgery. This measure should prevent the recurrence of this complication.
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ranking = 1
keywords = phacoemulsification
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2/4. Combined cataract extraction and submacular blood clot evacuation for globe perforation caused by retrobulbar injection.

    A 45-year-old woman, originally scheduled for cataract surgery in the left eye, was referred for management of a globe perforation noticed after the retrobulbar injection of an anesthetic solution. There was a moderate degree of vitreous hemorrhage, and initial visual acuity was hand movement. A submacular blood clot of about 4-disc diameter was detected when the vitreous hemorrhage gradually cleared. One week after the incident, combined phacoemulsification, intraocular lens implantation, pars plana vitrectomy, and submacular clot removal using tissue plasminogen activator (tPA) as an adjunct were performed. Recovery was uneventful. At the last follow-up 6 months after surgery, best corrected visual acuity was 20/30.
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ranking = 1
keywords = phacoemulsification
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3/4. Spontaneous luxation of encapsulated intraocular lens onto the retina after a triple procedure of vitrectomy, phacoemulsification, and intraocular lens implantation.

    PURPOSE: To report the clinical and histological findings of a luxated intraocular lens (IOL) in the capsular bag. methods: review of a case. RESULTS: Twenty-three months after a triple procedure of vitrectomy, phacoemulsification, and IOL implantation for diabetic vitreous hemorrhage and cataract, the encapsulated IOL spontaneously luxated. Scanning electron microscopy showed sparsely distributed anterior and equatorial zonules, with only a few posterior zonules on the surface of the removed capusular bag. CONCLUSION: The absence of the anterior hyaloid membrane and posterior zonules and contraction of the lens capsule may cause dialysis of the zonules. Therefore, the anterior hyaloid membrane should be left in place in patients at low risk for the development of postoperative proliferation to maintain the long-term stability of the IOL.
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ranking = 5
keywords = phacoemulsification
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4/4. Bilateral acute postoperative retinal detachment after cataract extraction: case report and review of the literature.

    A 57-year-old white man had extracapsular cataract extraction complicated by vitreous loss. On postoperative day 1, he was noted to have a total retinal detachment (RD) with vitreous hemorrhage. No predisposing anatomic risk factors were present except for the vitreous loss. During the RD repair, 2 small superior tears were discovered. Eleven months later, the patient had uneventful phacoemulsification in the fellow eye. On postoperative day 1, he again had a total RD with a superior retinal tear. Meticulous retinal evaluation had been performed preoperatively, and no holes or tears were discovered. The RD was repaired, and the best corrected visual acuity at the last examination was 20/40 in both eyes.
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ranking = 1
keywords = phacoemulsification
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