Bilateral intraocular hemorrhage from vascularization of cataract wounds.
We report a case of bilateral intraocular hemorrhage from vascularization of cataract wounds. The patient experienced decreased vision following an episode of vomiting more than 2.5 years after phacoemulsification through a scleral tunnel incision in the right eye and combined trabeculectomy and extracapsular cataract extraction in the left eye. Gonioscopy demonstrated abnormal vessels in the region of the cataract wound superiorly and small hyphemas inferiorly in both eyes. The hemorrhages and elevated intraocular pressure normalized over weeks. The left eye had a recurrent hemorrhage 5 months later, which was successfully treated with argon laser goniophotocoagulation.
Banitt
Michael R
MR
Bascom Palmer Eye Institute, Miller School of Medicine, University of Miami, Miami, Florida 33136, USA.
Rand
Allison
A
Vann
Robin R
RR
Gedde
Steven J
SJ
D000368:Aged; D002386:Cataract / Q000150:complications; D007839:Functional Laterality; D005902:Glaucoma, Open-Angle / Q000150:complications; D006068:Gonioscopy; D006801:Humans; D006988:Hyphema / Q000209:etiology* / Q000601:surgery; D007429:Intraocular Pressure; D017075:Laser Coagulation; D019654:Lens Implantation, Intraocular; D008297:Male; D009389:Neovascularization, Pathologic / Q000150:complications* / Q000601:surgery; D018918:Phacoemulsification; D011183:Postoperative Complications; D012590:Sclera / Q000098:blood supply*; D013524:Surgical Flaps; D014130:Trabeculectomy; D014792:Visual Acuity