ABSTRACT
Results of 1000 consecutive intracapsular cataract extractions done by the same surgeon over a 21-month period are reviewed. Cataracts were removed using a technique that included loupe magnification, cryoextraction, and nonabsorbable suture material.
Subject(s)
Cataract Extraction/methods , Adult , Aged , Cataract Extraction/adverse effects , Cryosurgery , Female , Humans , Intraoperative Complications , Male , Middle Aged , Postoperative Period , Refractive Errors/epidemiology , Sutures , Visual AcuityABSTRACT
Nineteen patients with hyphema due to fibrovascular tissue in the cataract wound were seen. In 3 patients the hyphema occurred after closure of an unitentional filtering bleb. Two patients receiving anticoagulants before and after the hyphema occurred did not have recurrence of the bleeding. In one patient the hyphema was induced by scleral depression. This benign condition is frequently misdiagnosed. When erythrocytes are seen in the anterior chamber of an aphakic patient, vascularization of the cataract wound should be suspected and confirmed by gonioscopy.
Subject(s)
Cataract Extraction , Hyphema/etiology , Postoperative Complications/etiology , Adult , Aged , Anterior Chamber/pathology , Blood Vessels/growth & development , Cell Adhesion , Diagnosis, Differential , Erythrocytes , Female , Humans , Hyphema/blood , Hyphema/diagnosis , Lens, Crystalline/blood supply , Male , Middle Aged , Postoperative Complications/blood , Time Factors , Uveitis/diagnosisABSTRACT
Senile entropion is a common cause of ocular discomfort. Medical treatment is ineffective for it and a definitive operation generally is required. Many surgical procedures are available, but most of them are not effective. The operation described in this paper was devised by one of us (H.G.S.) 9 years ago, employing a modification of the Schimek procedure. It has the advantage, however, of fixation of the sutures to the periosteum of the lateral orbital rim and thus provides firm support for the lid septum. The operation is simple, safe, and takes little more. Even if entropion recurs, the operation can be repeated with no damage to the lid.
