J Korean Ophthalmol Soc.  2015 Feb;56(2):296-299. 10.3341/jkos.2015.56.2.296.

Massive Spontaneous Suprachoroidal Hemorrhage in a Patient with Heavy Alcohol Consumption

• Park HJ
• Chung EJ

• KMID: 2216017
• DOI: http://doi.org/10.3341/jkos.2015.56.2.296

Abstract

PURPOSE
To report a case of massive spontaneous suprachoroidal hemorrhage in a middle-aged female with heavy alcohol consumption.
CASE SUMMARY
A 48-year-old female with a history of heavy alcohol consumption developed a massive spontaneous suprachoroidal hemorrhage in the right eye. Fundus examination and B-scan ultrasonography of the right eye revealed a hemorrhagic choroidal detachment with kissing choroidal sign. On systemic evaluation, she was diagnosed with alcohol-induced hepatitis, diabetes, and diabetic nephropathy. We performed trans-scleral drainage of the suprachoroidal hemorrhage, trans pars plana vitrectomy and silicone oil injection in her right eye.
CONCLUSIONS
To our knowledge, this is the first case report of massive spontaneous suprachoroidal hemorrhage in a patient with heavy alcohol intake.

Keyword

Alcohol-induced hepatitis; Heavy alcohol consumption; Spontaneous suprachoroidal hemorrhage

MeSH Terms

Alcohol Drinking*
Choroid
Diabetic Nephropathies
Drainage
Female
Hemorrhage*
Hepatitis
Humans
Middle Aged
Silicone Oils
Ultrasonography
Vitrectomy
Silicone Oils

Figure

• 

  Figure 1. Fundus photography of the right eye reveals total retinal detachment associated with extensive subretinal hemor-rhage and kissing choroidal sign.

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  Figure 2. B-scan ultrasonography of right eye showing diffuse suprachoroidal hemorrhage (A) and kissing choroidal sign at horizontal view (B).

Reference

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