BULLOUS KERATITIS FROM VITREOUS CONTACT

Abstract

<h3>EDEMA OF CORNEA SECONDARY TO VITREOUS CONTACT</h3> ONE OF the infrequent, but most serious, complications of cataract extraction is the late development of a localized area of permanent corneal edema. This area may gradually increase, and eventually the entire cornea may show edema, or even gross bullous keratitis; and the visual result of an apparently perfect intracapsular cataract extraction may be only perception of shadows or less. The initial lesion may be well defined four or five days after operation, but more commonly it is first noticed several weeks later. In some cases the cornea may be clear for three or four years after cataract extraction and then edema may develop in both corneas within a few months. On examination with the slit lamp, the lesion is found to be in front of an area of vitreous contact and shows primarily wrinkles in Descemet's membrane (posterior elastic lamina) and slight