Korean J Ophthalmol.  2000 Jun;14(1):41-44. 10.3341/kjo.2000.14.1.41.

Massive suprachoroidal hemorrhage with retinal and vitreous incarceration+ADs- a vitreoretinal surgical approach

• Lee SC
• Lee I
• Koh HJ
• Kim SH
• Kwon OW

• KMID: 754272
• DOI: http://doi.org/10.3341/kjo.2000.14.1.41

Abstract

Suprachoroidal hemorrhage(SH) may cause the expulsion of the intraocular contents. Vitreous incarceration in the wound and retinal detachment with SH are extremely poor prognostic signs. Treatment modalities depend on the severity of eye damage. This particular patient had +ACI-kissing+ACI- hemorrhagic choroidal detachment which completely filled the vitreous cavity after cataract surgery. It seemed to be inoperable. Secondary surgery was delayed 3 days to lower IOP to normal levels. The eye underwent anterior drainage sclerotomy under constantly-maintained limbal or pars plana infusion fluid line pressure. The authors performed a pars plana vitrectomy, followed by perfluorocarbon liquid injection and a silicone oil tamponade. After this surgical approach, the patient attained an attached retina and a visual acuity of 5/200 at the 3 month follow-up.

MeSH Terms

Aged
Anterior Chamber
Case Report
Cataract Extraction/adverse effects+ACo-
Choroid Hemorrhage/surgery+ACo-
Choroid Hemorrhage/diagnosis
Choroid Hemorrhage/complications
Eye Diseases/surgery
Eye Diseases/pathology
Eye Diseases/etiology
Female
Fluorocarbons/administration +ACY- dosage
Human
Injections
Reoperation
Retinal Detachment/surgery
Retinal Detachment/pathology
Retinal Detachment/etiology+ACo-
Sclera/surgery
Silicone Oils/administration +ACY- dosage
Suction/methods+ACo-
Visual Acuity
Vitrectomy/methods+ACo-
Vitreous Body/surgery
Vitreous Body/pathology+ACo-