A rare ophthalmic complication: Expulsive suprachoroidal hemorrhage
Background: Expulsive suprachoroidal hemorrhage is a rare but dreadful complication of any ophthalmic surgery. Hence an ophthalmologist should know about the various risk factors, methods for preventing such a situation, and be aware of the various options for timely management to tackle the situati...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | Indian Journal of Ophthalmology |
| Subjects: | |
| Online Access: | http://www.ijo.in/article.asp?issn=0301-4738;year=2022;volume=70;issue=8;spage=3166;epage=3166;aulast=Doctor |
| _version_ | 1828150255530541056 |
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| author | Mariya B Doctor Somasheila Murthy |
| author_facet | Mariya B Doctor Somasheila Murthy |
| author_sort | Mariya B Doctor |
| collection | DOAJ |
| description | Background: Expulsive suprachoroidal hemorrhage is a rare but dreadful complication of any ophthalmic surgery. Hence an ophthalmologist should know about the various risk factors, methods for preventing such a situation, and be aware of the various options for timely management to tackle the situation. Purpose: To discuss the risk factors, intraoperative signs, and ways of managing expulsive choroidal hemorrhage. Synopsis: We discuss two cases having multiple risk factors, where the patients underwent tectonic penetrating keratoplasty. In view of extensive involvement of ocular structures, the patients were clearly explained about the guarded visual prognosis and the risk of auto-evisceration. Following trephination of host cornea, rise in intraocular pressure was identified by the increasing size of the vitreous seen prolapsing through the wound and markedly visible pulsations, along with subconjunctival bleeding. Suprachoroidal hemorrhage was suspected and immediate tamponade was given. However, bleeding was not controlled, and eventually, expulsion of all the intraocular contents occurred. Highlights: A surgeon must be aware of the risk factors, be prompt to identify the signs, and must take immediate actions for the management of expulsive choroidal hemorrhage, a rare but dreadful complication of intraocular procedures.
Online Video Link: https://youtu.be/UnCH-lWGzwU |
| first_indexed | 2024-04-11T21:41:44Z |
| format | Article |
| id | doaj.art-08feb87dbc454fee92a7b803c5d413aa |
| institution | Directory Open Access Journal |
| issn | 0301-4738 1998-3689 |
| language | English |
| last_indexed | 2024-04-11T21:41:44Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Ophthalmology |
| spelling | doaj.art-08feb87dbc454fee92a7b803c5d413aa2022-12-22T04:01:34ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892022-01-017083166316610.4103/ijo.IJO_1115_22A rare ophthalmic complication: Expulsive suprachoroidal hemorrhageMariya B DoctorSomasheila MurthyBackground: Expulsive suprachoroidal hemorrhage is a rare but dreadful complication of any ophthalmic surgery. Hence an ophthalmologist should know about the various risk factors, methods for preventing such a situation, and be aware of the various options for timely management to tackle the situation. Purpose: To discuss the risk factors, intraoperative signs, and ways of managing expulsive choroidal hemorrhage. Synopsis: We discuss two cases having multiple risk factors, where the patients underwent tectonic penetrating keratoplasty. In view of extensive involvement of ocular structures, the patients were clearly explained about the guarded visual prognosis and the risk of auto-evisceration. Following trephination of host cornea, rise in intraocular pressure was identified by the increasing size of the vitreous seen prolapsing through the wound and markedly visible pulsations, along with subconjunctival bleeding. Suprachoroidal hemorrhage was suspected and immediate tamponade was given. However, bleeding was not controlled, and eventually, expulsion of all the intraocular contents occurred. Highlights: A surgeon must be aware of the risk factors, be prompt to identify the signs, and must take immediate actions for the management of expulsive choroidal hemorrhage, a rare but dreadful complication of intraocular procedures. Online Video Link: https://youtu.be/UnCH-lWGzwUhttp://www.ijo.in/article.asp?issn=0301-4738;year=2022;volume=70;issue=8;spage=3166;epage=3166;aulast=Doctorexpulsive suprachoroidal hemorrhage |
| spellingShingle | Mariya B Doctor Somasheila Murthy A rare ophthalmic complication: Expulsive suprachoroidal hemorrhage Indian Journal of Ophthalmology expulsive suprachoroidal hemorrhage |
| title | A rare ophthalmic complication: Expulsive suprachoroidal hemorrhage |
| title_full | A rare ophthalmic complication: Expulsive suprachoroidal hemorrhage |
| title_fullStr | A rare ophthalmic complication: Expulsive suprachoroidal hemorrhage |
| title_full_unstemmed | A rare ophthalmic complication: Expulsive suprachoroidal hemorrhage |
| title_short | A rare ophthalmic complication: Expulsive suprachoroidal hemorrhage |
| title_sort | rare ophthalmic complication expulsive suprachoroidal hemorrhage |
| topic | expulsive suprachoroidal hemorrhage |
| url | http://www.ijo.in/article.asp?issn=0301-4738;year=2022;volume=70;issue=8;spage=3166;epage=3166;aulast=Doctor |
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