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Delayed-onset expulsive choroidal hemorrhage following traumatic globe rupture
1Department of Ophthalmology, Northwestern University, Chicago, IL, USA.
Ophthalmic Surgery and Lasers
|April 21, 1998
Summary
Delayed-onset expulsive choroidal hemorrhage after penetrating keratoplasty can be successfully managed. Prompt digital pressure intervention prevented intraocular content expulsion and preserved vision in a case study.
Area of Science:
- Ophthalmology
- Corneal Surgery
- Vascular Complications
Background:
- Penetrating keratoplasty (corneal transplant) is a common procedure.
- Delayed wound rupture is a rare but serious complication.
- Expulsive choroidal hemorrhage is a vision-threatening event.
Observation:
- A 59-year-old woman experienced traumatic wound rupture 6 months post-keratoplasty.
- Hemorrhagic choroidal detachments developed pre-operatively.
- Imminent intraocular content expulsion was diagnosed.
Findings:
- Digital pressure was applied immediately and maintained until surgical repair.
- The hemorrhage was successfully managed with this rapid intervention.
- Postoperatively, vision was 20/80 with 585 microns central pachymetry.
Implications:
- This case highlights the importance of prompt recognition and management of delayed expulsive choroidal hemorrhage.
- Simple interventions like digital pressure can be effective in preventing catastrophic outcomes.
- Knowledge of the disease process is crucial for successful clinical management in ophthalmology.