Retina-Vitreous
2003 , Vol 11 , Num 0
COMBINED SUPRACHOROIDAL DRAINAGE AND VITRECTOMY IN MASSIVE SUPRACHOROIDAL HEMORRHAGE
SSK Ankara Eğitim Hastanesi, 2. Göz Kliniği
Aim: To present our secondary surgical approach and its result of a patient with massive suprachoroidal hemorrhage (MSCH). Material and methods: Pars plana vitrectomy with use of perfluorocarbon liquids and silicon oil along with 360 degrees endophotocoagulation after the drainage of suprachoroidal hemorrhage was performed on a patient who developed MSCH during extracapsular cataract extraction. Postoperative visual acuities, anatomical status of the retina and choroid and the intraocular pressures (IOP) were documented.
Results: Visual acuity was light perception preoperatively and 2 meters counting fingers postoperatively at 3 months. Fundus exam at the second day of the surgery showed that the retina and choroid were reattached except for a small area nasal to the equator, which was left to resolve spontaneously. This detached area resolved spontaneously at the first month postoperstively. IOPs were within normal limits during the 3 month follow-up period.
Conclusion: Vitrectomy with the drainage of SCH, increases the rate of postoperative anatomical and functional success in cases with MSCH and decreases the complications that MSCH may bring. Keywords : Massive suprachoroidal hemorrhage, pars plana vitrectomy