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March 1992

Endocapsular Hematoma

Author Affiliations

Decatur, Ga

Arch Ophthalmol. 1992;110(3):318. doi:10.1001/archopht.1992.01080150016003

To the Editor.  —I read with interest the article by Hagan and Gaasterland describing six patients with a postoperative capsular bag hyphema following "uncomplicated" extracapsular cataract extractions with posterior chamber intraocular lens implantation.One type of hyphema confined to the capsular bag has been previously described by Eifrig et al.1 It occurred in a diabetic patient who had evidence of neovascularization of both the iris and the capsular bag. In this case, the bleeding did not occur immediately following the surgical procedure, but months later. Eifrig et al termed this separate but related entity rubeosis capsulare.In their "Comment" section, Hagan and Gaasterland do not discuss the history of glaucoma preoperatively in three of the six cases reported. In my experience, patients with glaucoma tend to bleed more and have increased inflammation and intraocular pressure spikes in the immediate postoperative cataract period. This is probably due to their long-term

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