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A rare ophthalmic complication: Expulsive suprachoroidal hemorrhage
Mariya B Doctor1, Somasheila Murthy1
1Department of Cornea, L V Prasad Eye Institute, Hyderabad, Telangana, India.
Indian Journal of Ophthalmology
|August 3, 2022
Summary
Expulsive suprachoroidal hemorrhage is a rare but serious complication of eye surgery. Prompt identification of risk factors and immediate management are crucial for ophthalmologists to tackle this dreadful event.
Area of Science:
- Ophthalmology
- Surgical Complications
Background:
- Expulsive suprachoroidal hemorrhage (ESCH) is a rare yet severe complication in ophthalmic surgery.
- Understanding risk factors, prevention, and management is vital for surgeons.
Purpose of the Study:
- To discuss the risk factors associated with expulsive choroidal hemorrhage.
- To identify intraoperative signs indicative of ESCH.
- To outline effective management strategies for ESCH.
Main Methods:
- Case review of two patients with multiple risk factors undergoing tectonic penetrating keratoplasty.
- Detailed observation of intraoperative events, including signs of increased intraocular pressure and bleeding.
Main Results:
- Both cases presented with significant risk factors and signs of ESCH during surgery.
- Despite immediate tamponade, bleeding was uncontrolled, leading to expulsion of intraocular contents in both patients.
Conclusions:
- Surgeons must be vigilant for risk factors and intraoperative signs of ESCH.
- Prompt and decisive action is necessary for managing this rare but devastating complication.
Keywords:
Expulsive suprachoroidal hemorrhage
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