PARS-PLANA VITRECTOMY IN MANAGEMENT OF BLOOD-INDUCED GLAUCOMA WITH VITREOUS HEMORRHAGE

  • 1 January 1978
    • journal article
    • research article
    • Vol. 10  (10) , 1427-+
Abstract
Four consecutive cases [human] were reported in which pars plana vitrectomy was used to treat eyes with blood-induced glaucoma complicating vitreous hemorrhage after cataract surgery. Vitrectomy resulted in removal of the posterior reservoir of cells and cellular debris and cured the elevated intraocular pressure in 3 eyes. One eye required a 2nd glaucoma procedure and long-term acetazolamide therapy. The excised vitreous was examined microscopically with several techniques, including use of a Millipore filter to concentrate the cellular elements combined with a modified Papanicolaou staining technique, routine staining of sections of Millipore filters and routine staining of vitreous processed in a celloidin bag. These techniques showed variable proportions of erythrocytes, erythrocytic debris, free Hb, ghost erythrocytes and macrophages containing erythrocytic debris and hemosiderin.

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