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July 1966

Cryolysis of Adhesion of Anterior Hyaloid Membrane to Corneal Endothelium After Uncomplicated Cataract Extraction

Author Affiliations

From the Department of Ophthalmology, Faculty of Medicine, University of Toronto (Dr. Drysdale), and the Retinal Unit, St. Michael's Hospital, Department of Ophthalmology, Faculty of Medicine, University of Toronto (Dr. Shea).

Arch Ophthalmol. 1966;76(1):4-6. doi:10.1001/archopht.1966.03850010006003

In 1948 Reese1 described a localized corneal edema which occurs when the hyaloid face herniates through the pupillary opening and comes in contact with the posterior surface of the cornea. If the anterior hyaloid membrane does not retract, a permanent corneal opacity develops. The use of miotics, alternating mydriatics and miotics, injection of air or Ringer's solution into the anterior chamber, or finally the surgical rupture of the hyaloid membrane, have been suggested as methods of treatment.

Report of a Case  A 73-year-old diabetic patient was first seen in July 1963. She had had a central retinal vein occlusion in her left eye 2½ months earlier. She developed rubeosis iridis and elevated intraocular pressure in that eye.Meanwhile, visual acuity gradually decreased in her right eye due to development of senile cataract. She was admitted to St. Michael's Hospital, Toronto, for a right cataract extraction and was operated upon

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