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March 1992

Endocapsular Hematoma-Reply

Author Affiliations

North Kansas City, Mo

Arch Ophthalmol. 1992;110(3):319. doi:10.1001/archopht.1992.01080150016005

In Reply.  —In preparing our article, we performed a computerized literature search of English and foreign language ophthalmology journals using several search strategies. None of them revealed the two articles cited by Nishi et al. We are all describing the same entity. We believe Thomas and co-authors, Nishi et al, and McManus are incorrect in referring to blood confined to the capsular bag as a "hyphema." Hyphema refers to blood in the anterior chamber. We believe the more precise term is the one we used: endocapsular hematoma.Posterior capsular neovascularization due to rubeosis iridis can be added to the causes of blood within the capsular bag. It should be easily distinguishable from the cases we described.The association of glaucoma with endocapsular hematoma in some of the reported cases invites conjecture. Definite conclusions cannot be made with such a small number of cases. We do not believe that postoperative hypotony