Acute suprachoroidal hemorrhage during clear corneal phacoemulsification using topical and intracameral anesthesia

Surendra Basti; Daniel J. Hu; Matthew B. Goren; Angelo P. Tanna

doi:10.1016/S0886-3350(02)01605-X

Acute suprachoroidal hemorrhage during clear corneal phacoemulsification using topical and intracameral anesthesia

Surendra Basti, Daniel J. Hu, Matthew B. Goren, Angelo P. Tanna^*

^*Corresponding author for this work

Ophthalmology

Research output: Contribution to journal › Article › peer-review

13 Scopus citations

Abstract

Shallowing of the anterior chamber and hardening of the eye occurred just before commencement of irrigation/aspiration of cortex in an 80-year-old man having temporal clear corneal cataract surgery under topical and intracameral anesthesia. Nucleus removal had been completed and was uneventful. Intraoperative fundus examination with the indirect ophthalmoscope disclosed a choroidal hemorrhage. The wound was immediately closed with sutures, and intravenous mannitol was administered. The hemorrhage remained localized. The red reflex remained unchanged at all times, and there was no prolapse of intraocular contents. A high index of suspicion is critical to the early diagnosis and management of choroidal hemorrhage.

Original language	English (US)
Pages (from-to)	588-591
Number of pages	4
Journal	Journal of cataract and refractive surgery
Volume	29
Issue number	3
DOIs	https://doi.org/10.1016/S0886-3350(02)01605-X
State	Published - Mar 1 2003

Funding

Supported in part by an unrestricted grant to the Northwestern University Feinberg School of Medicine from Research to Prevent Blindness, New York, NY, USA.

ASJC Scopus subject areas

Sensory Systems
Ophthalmology
Surgery

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10.1016/S0886-3350(02)01605-X

Cite this

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abstract = "Shallowing of the anterior chamber and hardening of the eye occurred just before commencement of irrigation/aspiration of cortex in an 80-year-old man having temporal clear corneal cataract surgery under topical and intracameral anesthesia. Nucleus removal had been completed and was uneventful. Intraoperative fundus examination with the indirect ophthalmoscope disclosed a choroidal hemorrhage. The wound was immediately closed with sutures, and intravenous mannitol was administered. The hemorrhage remained localized. The red reflex remained unchanged at all times, and there was no prolapse of intraocular contents. A high index of suspicion is critical to the early diagnosis and management of choroidal hemorrhage.",

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AU - Basti, Surendra

AU - Hu, Daniel J.

AU - Goren, Matthew B.

AU - Tanna, Angelo P.

N1 - Funding Information: Supported in part by an unrestricted grant to the Northwestern University Feinberg School of Medicine from Research to Prevent Blindness, New York, NY, USA.

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AB - Shallowing of the anterior chamber and hardening of the eye occurred just before commencement of irrigation/aspiration of cortex in an 80-year-old man having temporal clear corneal cataract surgery under topical and intracameral anesthesia. Nucleus removal had been completed and was uneventful. Intraoperative fundus examination with the indirect ophthalmoscope disclosed a choroidal hemorrhage. The wound was immediately closed with sutures, and intravenous mannitol was administered. The hemorrhage remained localized. The red reflex remained unchanged at all times, and there was no prolapse of intraocular contents. A high index of suspicion is critical to the early diagnosis and management of choroidal hemorrhage.

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Acute suprachoroidal hemorrhage during clear corneal phacoemulsification using topical and intracameral anesthesia

Abstract

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