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Volcano explosion in the eye: Expulsive choroidal haemorrhage
Namrata Sharma1, Tushar Agarwal1, Jeewan S Titiyal1
1Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, Delhi, India.
Indian Journal of Ophthalmology
|January 28, 2022
Summary
Expulsive suprachoroidal hemorrhage during penetrating keratoplasty is a rare but serious complication. This video demonstrates strategies for preventing and managing this event, including using a glycerin-preserved donor corneal button for management.
Area of Science:
- Ophthalmology
- Surgical Techniques
Background:
- Penetrating keratoplasty can lead to expulsive suprachoroidal hemorrhage, a severe complication.
- This video addresses the prevention and management of this rare surgical challenge.
Purpose of the Study:
- To educate corneal surgeons on recognizing and managing expulsive suprachoroidal hemorrhage.
- To demonstrate real-time surgical video of this complication and its mitigation.
Main Methods:
- The video showcases a case of expulsive choroidal hemorrhage during autokeratoplasty.
- Management involved using a glycerin-preserved donor corneal button.
Main Results:
- The complication occurred in a non-seeing eye during autokeratoplasty.
- The described management approach was utilized.
Conclusions:
- Expulsive choroidal hemorrhage requires mental preparedness and specific management strategies.
- Pre-operative risk factor management and intra-operative maneuvers are crucial for prevention and damage mitigation.
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