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Related Experiment Videos

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
PubMed
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.

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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:

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  • 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.