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This meeting has been awarded 20 CME credits

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Posters

Massive suprachoroidal hemorrhage- vitreoretinal surgical approach and outcome

Poster Details

First Author: M.Cardoso PORTUGAL

Co Author(s):    V. Lemos   A. Vicente   R. Anjos   N. Marques   F. Trinc√£o   J. Branco   0   0 0   0 0   0 0   0 0

Abstract Details



Purpose:

Massive suprachoroidal hemorrhage is a devastating complication of intraocular surgery that can result in total loss of vision. The aim of this poster was to present the anatomic and functional results of secondary surgical treatment of one patient with massive suprachoroidal hemorrhage.

Setting:

Centro Hospitalar de Lisboa Central

Methods:

A 70-year-old patient was referred to our department for the secondary management of massive suprachoroidal hemorrhage that occured during cataract extraction. His visual acuity was light perception. Secondary surgery was performed 10 days following onset of massive suprachoroidal hemorrhage. We combined posterior radial sclerotomies for suprachoroidal drainage and vitrectomy with use of perfluorocarbon and instillation of silicone oil. Postoperative assessment included visual acuity measurement, ocular examination, OCT and retinography.

Results:

Postoperatively the visual acuity improved to hands motions and anatomic restoration of ocular structures was achieved.

Conclusions:

Despite the advanced surgical techniques, the prognosis of massive suprachoroidal hemorrhage remains guarded. However, secondary surgical treatment with combined radial sclerotomies and vitrectomy should be considered in order to maximize the anatomic and functional restoration.

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