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January 1987

Pale-Centered Retinal Hemorrhages Following Vitrectomy

Author Affiliations

San Francisco

Arch Ophthalmol. 1987;105(1):25-26. doi:10.1001/archopht.1987.01060010031016

To the Editor.  —We read with interest the letter entitled "Hemorrhagic Retinopathy Following Uncomplicated Pediatric Cataract Extraction"1 in the July 1986 issue of the Archives. We recently had the opportunity to observe similar pale-centered retinal hemorrhages in an adult patient following lensectomy and vitrectomy for a traumatic dislocated lens and phakolytic glaucoma.

Report of a Case.  —A 34-year-old man was referred to the San Francisco Veterans Administration Hospital for evaluation and treatment of phakolytic glaucoma and a traumatic, dislocated lens, which occurred following blunt trauma to his left eye.Medical history and general physical examinations were unremarkable. On ocular examination, the right eye was entirely normal. The left eye had an intraocular pressure of 38 mm Hg. The lens was totally opacified and dislocated inferiorly. There was a choroidal rupture with hyperplasia of the retinal pigment epithelium extending through the fovea. The patient was brought to the operating room

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