[Vitrectomy for the treatment of expulsive hemorrhage].
OBJECTIVE
To evaluate the surgical outcome of vitrectomy in the treatment of expulsive hemorrhage associated with intraocular surgery.


METHODS
We reviewed 12 eyes from 12 patients with expulsive hemorrhage, occurring after or during cataract extraction (4 eyes), phacoemulsification (2 eyes), glaucoma filtering surgery (4 eyes), or vitrectomy (2 eyes). Mean follow-up period was 21 months.


RESULTS
The retina was reattached in 6 eyes (50%) after the initial surgery and ultimately in 9 eyes (75%). Three eyes, which failed to achieve retinal reattachment, resulted in phthisis bulbi. Final visual acuity was 0.1 or belter in 4 eyes and 0.01 to 0.09 in 4 eyes. The incidence of expulsive hemorrhage was 0% for cataract surgery, 0.57% for trabeculectomy, and 0.09% for vitrectomy at Toho University Sakura Hospital.


CONCLUSIONS
In the treatment of expulsive hemorrhage, vitrectomy is an effective surgical procedure to improve the visual function.
Ishida
M
M
Department of Ophthalmology, National Defense Medical College, Tokorozawa, Japan.
Takeuchi
S
S
D000293:Adolescent; D000368:Aged; D000369:Aged, 80 and over; D002387:Cataract Extraction; D005128:Eye Diseases / Q000601:surgery*; D005260:Female; D018463:Filtering Surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification; D019106:Postoperative Hemorrhage / Q000601:surgery*; D014130:Trabeculectomy; D016896:Treatment Outcome; D014821:Vitrectomy