title: Management of traumatic haemorrhage in the Berger's space of a 4-year-old child.
abstract: We are reporting an unusual case of haemorrhage in the Berger's space after an episode of blunt ocular trauma in an eye of a 4-year-old boy, who enjoyed premorbid normal vision. A secondary posterior subcapsular cataract developed as a complication of the haemorrhage after 6 months of observation. Surgery comprised cataract extraction, removal of a residual retrolenticular haematoma via opening of posterior continuous curvilinear capsulorhexis (CCC), anterior vitrectomy and placement of an intraocular lens. This yielded a reasonable visual outcome. Complete spontaneous resolution of haemorrhage in the Berger's space is unlikely and may cause secondary cataracts in children. We suggest early intervention in such conditions in order to prevent the development of amblyopia.
authors.affiliation: Tuen Mun Eye Centre, 4 Tuen Lee Street, Tuen Mun, Hong Kong, SAR, Hong Kong. stephenltl@yahoo.com.
authors.forename: Stephen Tak-Lun
authors.initials: ST
authors.lastname: Li
authors.affiliation: Tuen Mun Eye Centre, 4 Tuen Lee Street, Tuen Mun, Hong Kong, SAR, Hong Kong.
authors.forename: Evan Po-Fat
authors.initials: EP
authors.lastname: Yiu
authors.affiliation: Tuen Mun Eye Centre, 4 Tuen Lee Street, Tuen Mun, Hong Kong, SAR, Hong Kong.
authors.forename: Angela Hiu-Yan
authors.initials: AH
authors.lastname: Wong
authors.affiliation: Tuen Mun Eye Centre, 4 Tuen Lee Street, Tuen Mun, Hong Kong, SAR, Hong Kong.
authors.forename: John Chun-Ting
authors.initials: JC
authors.lastname: Yeung
authors.affiliation: Tuen Mun Eye Centre, 4 Tuen Lee Street, Tuen Mun, Hong Kong, SAR, Hong Kong.
authors.forename: Lester Wang-Hon
authors.initials: LW
authors.lastname: Yu
mesh_terms: D019923:Capsulorhexis / Q000379:methods; D002386:Cataract / Q000175:diagnosis / Q000209:etiology; D002675:Child, Preschool; D005130:Eye Hemorrhage / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D005131:Eye Injuries / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D019654:Lens Implantation, Intraocular; D008297:Male; D014057:Tomography, X-Ray Computed; D014821:Vitrectomy / Q000379:methods*; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000175:diagnosis / Q000601:surgery