Expulsive hemorrhage in small incision cataract surgery: modern manifestations and outcomes

Session Details

Session Title: Cataract Surgery Outcomes and Complications

Session Date/Time: Monday 07/09/2015 | 14:30-16:00

Paper Time: 15:24

Venue: Room 17

First Author: : Z.Kataeva RUSSIA

Co Author(s): :    O. Shilovskikh   P. Rylov   I. Idov              

Abstract Details

Purpose:

To analyze reasons, manifestations and treatment outcomes in patients with expulsive hemorrhage (EH) during phacoemulsification.

Setting:

IRTC Eye Microsurgery Ekaterinburg Center, Ekaterinburg, Russia

Methods:

Retrospective analysis of EH during small incision (1,9- 2,75mm) cataract surgery was performed. There were 14 eyes operated from 2008 till 2014 – 0.01% of cataract operations. Mean age - 75±3.6 years. Pre-op visual acuity was from light perception to 0.75; AL from 21.08 to 32.08 mm. Glaucoma was present in 4 eyes; in 3 eyes IOP was over 21 mm Hg, in 1 case combined surgery was performed. In 1 eye there was lens subluxation, in 4 eyes – grade 5 cataract density. EH grade 1 was in 6 eyes, grade 2 – 1, grade 3 – 7.

Results:

In remote post-op period up to 1 year visual acuity was 0.01 in 1eye with haemophtalmia, from 0.2 to 0.55 in 7 eyes, more than 0,6 in 6 eyes. In 93% cases (13 eyes) we observed good functional results, 1 patient with haemophtalmia refused from vitrectomy. IOP was normal in all eyes. As during phaco in 7 eyes anterior vitrectomy and in 9 eyes sclerotomy were performed, in 2 patients due to intraoperative transition to the laryngeal mask, in post-op period there were no need in additional revision.

Conclusions:

Use of small self-sealing incisions in cataract surgery results in reduction of negative functional results in case of EH. EH grades 1-2 occur more frequently during phaco. There is no need in additional revision of anterior segment if an adequate teсhnique is used at final steps of operation in case of EH.

Financial Interest:

NONE