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Spontaneous expulsive suprachoroidal hemorrhage
A Ophir1, J Pikkel, G Groisman
1Department of Ophthalmology, Hillel-Yaffe Medical Center, Hadera, Israel. Ophthalmology@hillel-yaffe.health.gov.il
Cornea
|October 31, 2001
Summary
This case study details a 90-year-old patient with spontaneous expulsive suprachoroidal hemorrhage (SESCH). Findings suggest vascular inflammatory necrosis led to choroidal bleeding and subsequent ocular tissue expulsion.
Area of Science:
- Ophthalmology
- Pathology
Background:
- Spontaneous expulsive suprachoroidal hemorrhage (SESCH) is a rare and severe ocular event.
- The exact mechanism of SESCH remains debated in scientific literature.
Observation:
- A 90-year-old patient with a history of corneal inflammatory disease, diabetes mellitus, atherosclerosis, and glaucoma presented with active ocular bleeding.
- The patient exhibited significant corneal tissue loss and expulsion of intraocular contents.
Findings:
- Histopathologic evaluation revealed acute intraocular and corneal inflammation.
- Evidence of inflammatory necrosis of choroidal vessels was a key finding.
- This suggests choroidal bleeding secondary to vascular inflammation as the initial event.
Implications:
- The findings propose a novel mechanism for SESCH, initiated by choroidal vascular inflammation.
- Elevated intraocular pressure from bleeding may cause extensive peripheral corneal tearing.
- This case contributes to understanding the pathophysiology of SESCH.