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April 1991

Endocapsular HematomaDescription and Treatment of a Unique Form of Postoperative Hemorrhage

Author Affiliations

From the Midwest Eye Institute of Kansas City (Mo) Inc (Dr Hagan) and the Center for Sight, Department of Ophthalmology, Georgetown University Medical School, Washington, DC (Dr Gaasterland).

Arch Ophthalmol. 1991;109(4):514-518. doi:10.1001/archopht.1991.01080040082033

• Endocapsular hematoma, to our knowledge, is a previously unreported type of postoperative hemorrhage. In this condition, blood collects in the narrow space between the anterior surface of the posterior capsule and the posterior optic surface of a posterior chamber intraocular lens. Endocapsular hematoma differs from anterior chamber hyphema in several ways: the location of the blood is in the endocapsular space, a small amount of endocapsular blood can cause visually disabling symptoms, the blood in the endocapsular space often fails to reabsorb, and neodymium-YAG laser capsulotomy can be used to drain the endocapsular blood into the vitreous cavity. We present six cases of endocapsular hematoma. Neodymium-YAG laser capsulotomy was successfully used to drain the endocapsular hematoma in three of these cases.