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Its Treatment by Sclerotomy

DERRICK VAIL, M.D.

Arch Ophthal. 1949;42(5):562-566.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

EVERY ophthalmic surgeon, unfortunately, will experience, sooner or later, the occurrence of an expulsive hemorrhage in one or more of his patients after intraocular operation. It is a disastrous complication which probably cannot be foreseen, and for which there is little to be done when it does occur. The one form of treatment that has offered any hope of saving the eyeball at least is prompt incision of the sclera in the area of the hemorrhage and evacuation of the blood.

Posterior sclerotomy for this condition was first performed in 1915 by Verhoeff.¹

His patient, a man aged 60, had bilateral chronic noninflammatory glaucoma. An iridectomy was performed on the right eye. Almost immediately thereafter vitreous began to pour from the wound. The eye became hard, and there was severe pain. Four hours later Verhoeff performed a sclerotomy to relieve the glaucoma. The first puncture with a Graefe knife . . . [Full Text PDF of this Article]

Author Affiliations
CHICAGO

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