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March 1966

Treatment of Postoperative Cataract Complications by Osmotic Agents

Author Affiliations

Miami Beach, Fla
From the departments of ophthalmology, University of Miami School of Medicine, Mt. Sinai Hospital, and St. Francis Hospital, Miami Beach, Fla.

Arch Ophthalmol. 1966;75(3):370-374. doi:10.1001/archopht.1966.00970050372011

The role of osmotic agents in ophthalmology is so specific and emphatic that their acceptance as a therapeutic tool in ophthalmology has been general.

They are most popularly used in combating acute narrow-angle glaucoma. The mode of action and the effects produced need no elaboration here. The advantage of a surgical approach to a hypotonic globe in other ocular disorders is becoming well documented.1

This paper concerns itself with the use of osmotic agents as an adjunct in treating two complications arising from routine cataract surgery.

Vitreous Adherence Syndrome  A most disastrous complication resulting from routine cataract surgery is persistent corneal edema. We are concerned here with that keratopathy resulting from adherence of the anterior hyaloid to the corneal endothelium. Loose vitreous in contrast with a normal cornea is usually well tolerated, whereas adherence of an intact anterior hyaloid often results in progressive corneal edema. In a patient with

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