Vitrectomy for the Treatment of Expulsive Hemorrhage.

Accession number;00A0446401
Title;Vitrectomy for the Treatment of Expulsive Hemorrhage.
Author; ISHIDA MASAHIRO (Natl. Def. Med. Coll.) TAKEUCHI SHINOBU (Toho Univ. School of Medicine., Sakura Hospital)
Journal Title;Journal of Japanese Ophthalmological Society
Journal Code:Z0666A
ISSN:0029-0203
VOL.104;NO.4;PAGE.237-241(2000)
Figure&Table&Reference;FIG.1, TBL.1, REF.12
Pub. Country;Japan
Language;Japanese
Abstract;Purpose: 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. Conclusion: In the treatment of expulsive hemorrhage, vitrectomy is an effective surgical procedure to improve the visual function. (author abst.)
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