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March 1992

Endocapsular Hematoma

Author Affiliations

Oklahoma City, Okla

Arch Ophthalmol. 1992;110(3):318. doi:10.1001/archopht.1992.01080150016004

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To the Editor.  —The description and treatment of blood on the anterior surface on the posterior capsule reported by Hagan and Gaasterland is of great interest. I have had two similar cases that I termed posterior capsule blood staining. Both events followed phacoemulsification and intraocular lens insertion using a small incision. One of the procedures was combined with a trabeculectomy. In that case, there was a documented rise in intraocular pressure to 35 mm Hg in addition to hyphema. Both cases involved the implantation of a biconvex posterior chamber lens and required neodymiumYAG capsulotomy. Based on the slit-lamp examination and the appearance of the capsule following neodymium-YAG capsulotomy, the blood appeared to be on the anterior surface of the posterior capsule as opposed to being trapped between the posterior surface of the intraocular lens and the anterior surface of the posterior capsule. One may assume that the etiology of this

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