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March 1984

Hyperlipidemia and Cataract Extraction

Arch Ophthalmol. 1984;102(3):358. doi:10.1001/archopht.1984.01040030278015

To the Editor.  —A 58-year-old male welder with hypertension and morbid obesity a known history of insulin-dependent diabetes for two years was referred to us for left cataract extraction. His best corrected vision was 20/50 OD and counting fingers at 30 cm in the left eye. He had early nuclear sclerosis and cuneiform cataractous changes on the right eye and a dense mature cataract on the left eye. Right fundus examination, performed within 24 hours of surgery, disclosed no changes in the retina vessels. The patient was grossly obese and had a slight acneiform appearance and rhinophyma. An uneventful left extracapsular cataract extraction was performed with the patient under local anesthetic. Epinephrine concentration (1:10,000), sodium hyaluronate, and intraocular acetylcholine chloride were used during the procedure. At the end of the procedure, a deep corneoscleral suture caused a small hyphema. The initial red appearance changed within seconds to a whitish, fibrinous

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