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[Postoperative choroidal hemorrhage. Surgical indications]

O Le Quoy1, P Girard

  • 1Fondation Ophtalmologique A. de Rothschild, Paris.

Journal Francais D'Ophtalmologie
|January 1, 1995
PubMed
Summary

Surgical intervention, particularly vitrectomy, can yield satisfactory outcomes for postoperative choroidal hemorrhage. Echography is crucial for determining optimal surgical timing based on clot lysis, typically around 7 days post-injury.

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Area of Science:

  • Ophthalmology
  • Surgical Techniques

Context:

  • Postoperative complications following ocular surgery can include suprachoroidal hemorrhage.
  • Suprachoroidal hemorrhage presents a significant challenge in ophthalmic surgery, potentially leading to vision loss.

Purpose:

  • To analyze 18 cases of postoperative suprachoroidal hemorrhage to determine surgical treatment indications, especially for vitrectomy.
  • To establish the optimal timing for surgical intervention based on clot lysis, as assessed by echography.

Summary:

  • Eighteen cases of postoperative suprachoroidal hemorrhage were treated surgically, with vitrectomy employed in 14 cases.
  • Treatment involved hematoma evacuation and, in some cases, internal tamponade with silicone oil or SF6.
  • Echography guided surgical timing, with a mean of 7 days post-injury for clot lysis.

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Impact:

  • Successful anatomical results were achieved in 14 eyes, with functional vision maintained in 12.
  • Vitrectomy is indicated for specific complications like vitreous incarceration, vitreous hemorrhage, or retinal detachment.
  • High rates of secondary retinal detachment with proliferative vitreoretinopathy (PVR) were noted, impacting treatment success.