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March 1970

Management of Vitreous Loss After Cataract Extraction

Author Affiliations

Miami, Fla
From the Bascom Palmer Eye Institute, Department of Ophthalmology, University of Miami School of Medicine, Miami, Fla.

Arch Ophthalmol. 1970;83(3):319-323. doi:10.1001/archopht.1970.00990030321009

MAJOR complications developing after vitreous loss during cataract extraction are usually due to failure of the surgeon to keep calm and to take appropriate measures to remove all vitreous from the anterior chamber prior to closing the surgical wound. Maumenee1 described a technique of aspiration of fluid vitreous through the pupil as a means of repositing formed vitreous that has entered the anterior chamber. For this purpose he used a 2 cc syringe connected to a blunt-tipped, open-ended 18-gauge needle marked 15 mm from the tip. Following aspiration, he recommended closure of the wound followed by air injection into the anterior chamber and sweeping the wound area with a cyclodialysis spatula. Recently, Kasner2 reported a technique referred to as "radical anterior vitrectomy" in which he advocates use of scissors, forceps, and cellulose sponges to remove all vitreous from the anterior and posterior chamber prior to closure of the

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