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Expulsive choroidal haemorrhage.

M Srinivasan1

  • 1Aravind Eye Hospital, Annanagar-Madurai.

Indian Journal of Ophthalmology
|October 1, 1992
PubMed
Summary
This summary is machine-generated.

Expulsive choroidal hemorrhage, a rare but serious cataract surgery complication, occurred in 5/10,000 cases. Anterior sclerotomy salvaged all eyes, with some vision recovery, highlighting risk factors like diabetes and hypertension.

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Area of Science:

  • Ophthalmology
  • Surgical Complications

Background:

  • Expulsive choroidal hemorrhage is a rare but severe complication following cataract surgery.
  • Reports on this complication, particularly in Indian ophthalmic literature, are infrequent.
  • Cataract surgery is a prevalent intraocular procedure in India, necessitating awareness of potential risks.

Purpose of the Study:

  • To report a series of expulsive choroidal hemorrhage cases after cataract surgery.
  • To highlight the rarity and potential severity of this complication.
  • To discuss predisposing factors and management strategies for expulsive choroidal hemorrhage.

Main Methods:

  • Retrospective analysis of five cases of expulsive choroidal hemorrhage occurring over 10,000 cataract surgeries.
  • Documentation of patient demographics, predisposing factors, surgical management, and visual outcomes.

Related Experiment Videos

  • Surgical intervention included anterior sclerotomy for all affected eyes.

    • Main Results:

    • Five cases (0.05%) of expulsive choroidal hemorrhage were identified.
    • The affected patients included 3 males and 2 females, aged 45-72 years.
    • All five eyes were salvaged with anterior sclerotomy, and two eyes achieved a vision of 6/12.

    Conclusions:

    • Expulsive choroidal hemorrhage is a rare but significant complication of cataract surgery.
    • Predisposing factors include diabetes, hypertension, glaucoma, and myopia.
    • Prompt surgical management, such as anterior sclerotomy, can salvage the eye and potentially restore vision.