| A Case of Suprachoroidal Hemorrhage after Pars Plana Vitrectomy for Rhegmatogenous Retinal Detachment. |
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Min Han Kim, Jong Hyun Oh |
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Department of Ophthalmology, Dongguk University Ilsan Hospital, Goyang, Korea. blueretinaoh@gmail.com |
| 열공망막박리 환자에서 유리체절제술 후 발생한 맥락막상강출혈 1예 |
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김민한⋅오종현 |
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동국대학교 일산병원 안과 |
Correspondence:
Jong‐Hyun Oh, MD, PhD
Email: blueretinaoh@gmail.com |
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Received: 31 May 2018 • Revised: 6 August 2018 • Accepted: 22 October 2018 |
| Abstract |
PURPOSE
To report a case of a 60-year-old female with rhegmatogenous retinal detachment, presenting with suprachoroidal hemorrhage after vitrectomy. CASE SUMMARY: A 60-year-old woman visited our clinic complaining of floaters, flashing, and blurred vision. Best-corrected visual acuity was 0.1 in her left eye, and fundus examination of her left eye revealed macula-involved retinal detachment with a retinal break at the superotemporal quadrant. She underwent cataract surgery, 23-gauge transconjunctival sutureless vitrectomy, and 14% C3F8 gas tamponade under general anesthesia. One hour after anesthesia recovery, she suddenly complained of severe pain in her left eye. The intraocular pressure measured after removal of the pressure patch from her left eye was as high as 58 mmHg. Her ocular pain improved spontaneously within 10 minutes, and the intraocular pressure decreased to 8 mmHg. Fundus examination of her left eye revealed a reddish-brown raised lesion, suggesting suprachoroidal hemorrhage. She was placed in a prone position with a pressure patch over her left eye. Bleeding through the sclerotomy site was observed 1 day after surgery. Subsequently, hemorrhagic choroidal detachment of her left eye continued to decrease without deterioration. Three weeks after surgery, the patient received an intravitreal injection of 100% C3F8 gas into her left eye. At 3 months after surgery, best-corrected visual acuity had improved to 0.8 in her left eye, and the retina was stable. CONCLUSIONS: Suprachoroidal hemorrhage may be suspected in a patient complaining of severe ocular pain after vitrectomy. |
| Key Words:
Pars plana vitrectomy;Rhegmatogenous retinal detachment;Suprachoroidal hemorrhage |
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