Postponed surgical management of suprachoroidal hemorrhage Case report

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Published: Mar 31, 2024
DOI: https://doi.org/10.24292/01.OT.300324.7
Keywords:
vitrectomy, suprachoroidal hemorrhage, phacoemulsification

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Aleksandra Górska
1. Clinic of Ophthalmology, Department of Ophthalmology, Faculty of Medical Sciences, Medical University of Silesia in Katowice. 2. Department of Adult Ophthalmology, Prof. K. Gibinski University Clinical Center, Medical University of Silesia in Katowice
http://orcid.org/0000-0002-6851-5065
Sebastian Sirek
1. Clinic of Ophthalmology, Department of Ophthalmology, Faculty of Medical Sciences, Medical University of Silesia in Katowice. 2. Department of Adult Ophthalmology, Prof. K. Gibinski University Clinical Center, Medical University of Silesia in Katowice
http://orcid.org/0000-0002-3138-3011
Dawid Woszczek
Student Scientific Circle of the Ophthalmology Clinic of the Department of Ophthalmology, Faculty of Medical Sciences, Medical University of Silesia in Katowice
Wojciech Rokicki
1. Clinic of Ophthalmology, Department of Ophthalmology, Faculty of Medical Sciences, Medical University of Silesia in Katowice. 2. Department of Adult Ophthalmology, Prof. K. Gibinski University Clinical Center, Medical University of Silesia in Katowice
http://orcid.org/0000-0001-9430-1506

Abstract

Material and methods: A 68-year-old female patient was referred to clinic with a suprachoroidal hemorrhage of the left eye arising during phacoemulsification with rupture of the lens capsule and displacement of cortical masses into the vitreous chamber. She reported severe complaints of pain in the left eye. Her visual acuity was at a level of light perception with no localization and intraocular pressure (IOP) at 60 mmHg. B-projection ultrasonography showed significant elevation of the choroid with dense echoes of extravasated blood in the suprachoroidal space. After analysis of the local and clinical condition, a vitrectomy procedure was performed from the pars plana approach (PPV). Due to persistently high IOP, the patient was qualified for a PPV again, 23 days after the suprachoroidal hemorrhage has occurred.


Results: The follow-up, 10 days after the second PPV procedure, has shown an improvement of the local condition and normalization of intraocular pressure to a 17 mmHg. The patient reported no complaints of pain.

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1.
Górska A, Sirek S, Woszczek D, Rokicki W. Postponed surgical management of suprachoroidal hemorrhage. Ophthatherapy [Internet]. 2024Mar.31 [cited 2024May4];00. Available from: https://www.journalsmededu.pl/index.php/ophthatherapy/article/view/2902
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Surgery and laser therapy
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