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Suprachoroidal hemorrhage during cataract surgery in a vitrectomized eye
Kelvin K Wong1, Tarek A Saleh, Roger H Gray
1Ophthalmology Department, Taunton and Somerset Hospital, Taunton, UK. Klf32@hotmail.com
Journal of Cataract and Refractive Surgery
|July 26, 2005
Summary
Surprachoroidal hemorrhage (SCH) in vitrectomized eyes during cataract surgery may present subtly. Obscured red reflex can be the sole indicator, necessitating specific surgical considerations.
Area of Science:
- Ophthalmology
- Surgical Complications
- Retinal Diseases
Background:
- Cataract surgery is a common procedure.
- Surprachoroidal hemorrhage (SCH) is a rare but serious complication.
- Previous vitrectomy can alter the typical presentation of ocular conditions.
Observation:
- A case of SCH occurred during cataract surgery in a patient with a prior vitrectomy.
- The primary sign of SCH was a progressive shadow obscuring the red reflex.
- Classic signs like increased intraocular pressure (IOP) or anterior chamber shallowing were absent.
Findings:
- The SCH resolved spontaneously post-surgery without further complications.
- The hemorrhage left characteristic subretinal pigmentary lines.
- This case highlights atypical SCH presentation in vitrectomized eyes.
Implications:
- Ophthalmologists must recognize that standard SCH signs may be absent in previously vitrectomized eyes.
- A progressive obscuration of the red reflex could be the only warning sign.
- Elevating IOP and suturing the incision may be prudent management strategies in such cases.