Abstract
Cataract surgery in the eye of a 71 year-old male was complicated by an expulsive hemorrhage. The eye became blind and was removed 21 days later. Histopathological evaluation revealed facts of outstanding interest: rupture of the long posterior ciliary artery on the nasal side was the cause of the massive bleeding and cystoid macular edema with vertical infolding of the central cones was found in the totally detached and distorted retina.
Zusammenfassung
Eine Cataractoperation am Auge eines 71 Jahre alten Mannes wurde durch eine expulsive Blutung kompliziert. Das Auge wurde blind und wurde 21 Tage später entfernt. Histopathologische Untersuchung ergab Befunde von besonderem Interesse: das Platzen der langen hinteren Ciliararterie an der nasalen Seite war der Ursprung der massiven Blutung und zystoides Maculaoedem mit verticaler Einfaltung der zentralen Zapfen wurde in der völlig abgelösten und verzerrten Netzhaut gefunden.
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References
Archer D, Krill AE, Newell FW (1970) Fluorescein studies. Amer J Ophth 69:543–554
Verhoeff FH (1915) Scleral puncture of expulsive sub-choroidal hemorrhage following sclerotomy. Ophth Rec 24:55–59
Vail D (1938) Posterior sclerotomy as a form of treatment in sub-choroidal expulsive hemorrhage. Amer J Ophth 21:256–260
Holland G von (1966) Zur Klinik der expulsiven Blutung nach Kataraktoperation. Klin Mbl Augenheilk 149:859–864
Wolter JR (1961) Expulsive hemorrhage during retinal detachment surgery: A case with survival of the eye after Verhoeff sclerotomy. Amer J Ophth 51:264–266
Perry HD, Hsieh RC, Evans RM (1977) Malignant melanoma of the choroid associated with spontaneous expulsive choroidal hemorrhage. Amer J Ophth 84:205–208
Manschot WA (1955) The pathology of expulsive hemorrhage. Amer J Ophth 40:15–24
Freedman J (1981) Posterior sclerotomy: A surgical approach for lowering intraocular pressure. Ophth Surg 12:347–348
Winslow RL, Stevenson W III, Yanoff M (1974) Spontaneous expulsive hemorrhage. AMA Arch Ophth 92:33–76
Wolter JR (1981) Vertical folds of central retina and choroid in sudden ocular decompression. Ophth Surg 12:190–194
Wolter JR (1982) Three basic types of foveal involvement in choroidal melanomas. Graefe's Arch Ophth 218:237–243
Wolter JR (1982) Foveal pathology in ciliary body melanoma. Ophth Surg 13:309–311
Wolter JR, Croasdale RE, Bahn CF (1980) Reactions to an anterior chamber lens, two years after implantation. Ophth Surg 11:794–800
Wolter JR (1981) The histopathology of cystoid macular edema. Graefe's Arch Ophth 216: 85–101
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Supported by the Research to Prevent Blindness, Inc., New York
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Wolter, J.R. Expulsive hemorrhage: a study of histopathological details. Graefe's Arch Clin Exp Ophthalmol 219, 155–158 (1982). https://doi.org/10.1007/BF02156839
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DOI: https://doi.org/10.1007/BF02156839