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March 1992

Endocapsular Hematoma

Author Affiliations

Osaka, Japan

Arch Ophthalmol. 1992;110(3):318. doi:10.1001/archopht.1992.01080150016002

To the Editor.  —We read with great interest the article by Hagan and Gaasterland1 on endocapsular hematoma in the April 1991 issue of the Archives.The authors believe that this type of postoperative hemorrhage is a "previously unreported entity." However, to our knowledge, their article is the third report. In 1989, Thomas et al2 first described a case of endocapsular hematoma in which patients underwent postural drainage. Our report immediately followed.3 We treated patients with this condition conservatively, and it took about 100 days for its disappearance. The delayed absorption in all these cases clearly shows that proteolytic enzymes and phagocytes cannot easily reach and remove the accumulated blood cells in the capsular bag.

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