Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0086543 (cataract)
 29,165 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Vitreous incarceration in the cataract wound may contribute to development of aphakic cystoid macular edema, vitreoretinal traction and retinal detachment, and corneal decompensation. Thirty-one eyes in which vitreous was incarcerated in the cataract wound were examined postmortem and the corneal, anterior segment, and vitreoretinal changes were reported. Light and electron microscopy specimens demonstrated migration of corneal endothelium onto the adherent vitreous with production of basement membrane (descemetization). Fibrous ingrowth was present in 84% of the eyes. Iridovitreal synechiae were seen in 87% of the eyes. Cystoid macular edema, present in six eyes (19%), was usually accompanied by retinal phlebitis and often by distortion of the pars plicata. Vitreoretinal traction was seen in four eyes (13%), retinal tears were seen in two eyes (6%), and one eye had a total retinal detachment. Preretinal membranes were present in five eyes (16%) without other macular pathology. Persistent cystoid macular edema appears to occur in a minority of eyes with vitreous incarcerated in the cataract wound. If a vitrectomy is to be performed, the surgeon should excise vitreous adherent to the iris and in the anterior vitreous cavity in addition to the vitreous in the region of the wound.
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PMID:Vitreous incarceration complicating cataract surgery. A light and electron microscopic study. 395 30

Eighteen eyes with examples of clinically important wound-related complications are reported. These include hemorrhage, fibrous ingrowth, and tractional or mechanical problems. Wound hemorrhages may occur early or late and can be the cause of substantial morbidity. Furthermore, intraocular blood is undesirable because it may provoke cataract formation, contribute to the postvitrectomy fibrin syndrome, induce fibrovascular proliferation, and lead to further surgery to remove the blood. Fibroplasia at the wound sites may in some patients contribute to the development of anterior hyaloid fibrovascular proliferation. Fibrous ingrowth may occur early or late and may be self-limited, with few side effects, or florid, with progression to retinal detachment or phthisis bulbi. Dilation of subconjunctival blood vessels entering the incision site suggests the presence of fibrous ingrowth or fibrovascular proliferation occurring in the vitreous base. Tractional or mechanical problems include retinal breaks, which may or may not lead to retinal detachment, and scarring within the vitreous base, which may contribute to the formation of anterior vitreoretinal traction or anterior proliferative vitreoretinopathy.
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PMID:Wound complications in pars plana vitrectomy. 811 36