Endocapsular hematoma. Description and treatment of a unique form of postoperative hemorrhage.
Endocapsular hematoma, to our knowledge, is a previously unreported type of postoperative hemorrhage. In this condition, blood collects in the narrow space between the anterior surface of the posterior capsule and the posterior optic surface of a posterior chamber intraocular lens. Endocapsular hematoma differs from anterior chamber hyphema in several ways: the location of the blood is in the endocapsular space, a small amount of endocapsular blood can cause visually disabling symptoms, the blood in the endocapsular space often fails to reabsorb, and neodymium-YAG laser capsulotomy can be used to drain the endocapsular blood into the vitreous cavity. We present six cases of endocapsular hematoma. Neodymium-YAG laser capsulotomy was successfully used to drain the endocapsular hematoma in three of these cases.
Hagan
J C
JC
Midwest Eye Institute of Kansas City Inc., MO 64116.
Gaasterland
D E
DE
D000368:Aged; D000369:Aged, 80 and over; D002387:Cataract Extraction / Q000009:adverse effects*; D003937:Diagnosis, Differential; D005130:Eye Hemorrhage / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D005260:Female; D006406:Hematoma / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007429:Intraocular Pressure; D053685:Laser Therapy; D007903:Lens Capsule, Crystalline; D007910:Lenses, Intraocular; D008297:Male; D014792:Visual Acuity