Secondary surgical management of suprachoroidal hemorrhage during pars plana vitrectomy
Introduction. Suprachoroidal hemorrhage (SCH) is one of the most feared and devastating complications of intraocular surgery. Intraoperative SCH is defined as sudden hemorrhagic swelling of the choroid which develops at time of intraocular surgery, and is associated with expulsion of some o...
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Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2015-01-01
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| Series: | Vojnosanitetski Pregled |
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| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2015/0042-84501503287V.pdf |
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| author | Vuković Dragan Petrović Sanja Paović Predrag |
| author_facet | Vuković Dragan Petrović Sanja Paović Predrag |
| author_sort | Vuković Dragan |
| collection | DOAJ |
| description | Introduction. Suprachoroidal hemorrhage (SCH) is one of the most feared and
devastating complications of intraocular surgery. Intraoperative SCH is
defined as sudden hemorrhagic swelling of the choroid which develops at time
of intraocular surgery, and is associated with expulsion of some or all of
the intraocular contents. Case report. A 56-year-old man was admitted to our
Clinic with bullose retinal detachment in the left eye. Intraoperatively,
during the substitution of perfluorocar-bone liquid (PFCL) with silicone oil,
which is very rare situation, a sudden loss of red reflex happened and SCH
was recognized as the cause. No attempt was made to drain the supra-choroidal
blood. After 3 weeks the patient was scheduled for pars plana vitrectomy.
Initial drainage of liqufied blood was made through a sclerotomy port during
pars plana inferotemporally. Massive epiretinal proliferation with funnel
shaped retinal detachment was solved during vitrectomy and internal tamponade
with silicone oil was done. Postoperative visual aquity was 2/60 on the third
postoperative day. Conclusion. Although suprachoroidal hemorrhage is one of
most feared and devastating complications of intraocular surgery, it might
have relatively good prognosis with proper preoperative, intraoperative and
postoperative management. |
| format | Article |
| id | doaj-art-b640487388f249b4a5594ebb62b597ab |
| institution | OA Journals |
| issn | 0042-8450 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-b640487388f249b4a5594ebb62b597ab2025-08-20T02:00:17ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502015-01-0172328729010.2298/VSP1503287V0042-84501503287VSecondary surgical management of suprachoroidal hemorrhage during pars plana vitrectomyVuković Dragan0Petrović Sanja1Paović Predrag2Faculty of Medicine, Belgrade + Clinical Center of Serbia, Clinic of Eye Diseases, BelgradeClinical Center of Serbia, Clinic of Eye Diseases, BelgradeClinical Center of Serbia, Clinic of Eye Diseases, BelgradeIntroduction. Suprachoroidal hemorrhage (SCH) is one of the most feared and devastating complications of intraocular surgery. Intraoperative SCH is defined as sudden hemorrhagic swelling of the choroid which develops at time of intraocular surgery, and is associated with expulsion of some or all of the intraocular contents. Case report. A 56-year-old man was admitted to our Clinic with bullose retinal detachment in the left eye. Intraoperatively, during the substitution of perfluorocar-bone liquid (PFCL) with silicone oil, which is very rare situation, a sudden loss of red reflex happened and SCH was recognized as the cause. No attempt was made to drain the supra-choroidal blood. After 3 weeks the patient was scheduled for pars plana vitrectomy. Initial drainage of liqufied blood was made through a sclerotomy port during pars plana inferotemporally. Massive epiretinal proliferation with funnel shaped retinal detachment was solved during vitrectomy and internal tamponade with silicone oil was done. Postoperative visual aquity was 2/60 on the third postoperative day. Conclusion. Although suprachoroidal hemorrhage is one of most feared and devastating complications of intraocular surgery, it might have relatively good prognosis with proper preoperative, intraoperative and postoperative management.http://www.doiserbia.nb.rs/img/doi/0042-8450/2015/0042-84501503287V.pdfvitrectomyeye hemorrhageintraoperative complicationsrisk factors |
| spellingShingle | Vuković Dragan Petrović Sanja Paović Predrag Secondary surgical management of suprachoroidal hemorrhage during pars plana vitrectomy Vojnosanitetski Pregled vitrectomy eye hemorrhage intraoperative complications risk factors |
| title | Secondary surgical management of suprachoroidal hemorrhage during pars plana vitrectomy |
| title_full | Secondary surgical management of suprachoroidal hemorrhage during pars plana vitrectomy |
| title_fullStr | Secondary surgical management of suprachoroidal hemorrhage during pars plana vitrectomy |
| title_full_unstemmed | Secondary surgical management of suprachoroidal hemorrhage during pars plana vitrectomy |
| title_short | Secondary surgical management of suprachoroidal hemorrhage during pars plana vitrectomy |
| title_sort | secondary surgical management of suprachoroidal hemorrhage during pars plana vitrectomy |
| topic | vitrectomy eye hemorrhage intraoperative complications risk factors |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2015/0042-84501503287V.pdf |
| work_keys_str_mv | AT vukovicdragan secondarysurgicalmanagementofsuprachoroidalhemorrhageduringparsplanavitrectomy AT petrovicsanja secondarysurgicalmanagementofsuprachoroidalhemorrhageduringparsplanavitrectomy AT paovicpredrag secondarysurgicalmanagementofsuprachoroidalhemorrhageduringparsplanavitrectomy |