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May 1986

Hyphema as a Complication of Strabismus Surgery in an Aphakic Eye

Arch Ophthalmol. 1986;104(5):637-638. doi:10.1001/archopht.1986.01050170027004

To the Editor.  —Hyphema as a late complication of cataract extraction has been attributed to the vascularization of the cataract wound. We herein describe a patient who developed a hyphema during strabismus surgery ten years after cataract extraction. To our knowledge, such a case has not previously been reported.

Report of a Case.  —A 65-year-old man had intracapsular cataract extraction for traumatic cataract ten years ago (15 years after the injury). Seven months before presenting to us, the patient suffered a subdural hematoma after a fall from a horse. This produced bilateral IV nerve palsy with diplopia. In the primary position, 5 prism diopters of right hypertropia was measured. Cyclotropia was 15° measured at near with red and white Maddox rods, a small "V" pattern was measured, and the right hypertropia, which increased in right head tilt, reversed to a left hypertropia in left head tilt. The corrected visual acuity