Spontaneous Resolution of an Endocapsular Hematoma

Hater, Michael A.; Yung, Chi Wah

doi:10.1016/s0002-9394(14)71140-7

Cited by 7 publications

(2 citation statements)

References 4 publications

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“…[126] However, in the present case, it was a total ECH failing to absorb on its own till 10 days of onset and the blood was thick enough to warrant a surgical evacuation, which in turn made post-surgical fundus evaluation and FFA possible.…”

Section: Discussionmentioning

confidence: 82%

Endocapsular hematoma: a rare form of ocular hemorrhage after thrombolysis with streptokinase

et al. 2014

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Context:Endocapsular hematoma has previously been described as a cataract surgery complication more commonly observed in eyes receiving a combined cataract and glaucoma surgery. However, it can also be a rare form of ocular bleed following thrombolysis with streptokinase.Case Report:A 65-year-old diabetic male presented to us with complain of sudden painless diminution of vision in his left eye, which he developed while he was being thrombolysed with streptokinase administered intravenously for an episode of acute myocardial infarct. On examination, left eye was pseudophakic with collection of blood in the capsular bag (Endocapsular hematoma).Conclusion:Endocapsular hematoma can be a rare form of ocular bleeding complicated by thrombolysis. Reporting this case becomes more relevant in the present era with increasing number of patients suffering from ischemic heart disease and likely to undergo thrombolysis.

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Section: Discussionmentioning

confidence: 82%

Endocapsular hematoma: a rare form of ocular hemorrhage after thrombolysis with streptokinase

et al. 2014

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“…Cases in which the pathology persists for months, as well as cases with spontaneous resolution, have been reported. 5 In cases without spontaneous resolution, Nd:YAG laser capsulotomy, in which laser capsulotomy is used to provide drainage of the endocapsular hematoma into the vitreous, may be required. Because the amount of blood draining into the vitreous is minimal, loss of vision (as seen in cases of vitreal hemorrhage) does not occur.…”

Section: Discussionmentioning

confidence: 99%