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March 1991

Expulsive Suprachoroidal Hemorrhage With Scleral Buckling Surgery

Author Affiliations

Manhasset, NY

Arch Ophthalmol. 1991;109(3):323. doi:10.1001/archopht.1991.01080030025021

Intraocular hemorrhage is one of the most serious complications that can occur during a retinal reattachment procedure. We describe a patient who developed a massive suprachoroidal hemorrhage during a scleral buckling procedure with extrusion of intraocular contents through a penetrating keratoplasty incision.

Report of a Case.  —A 62-year-old healthy white woman presented with a rhegmatogenous retinal detachment in her left eye on April 26, 1989. She had undergone a combined cataract extraction with lens implant and penetrating keratoplasty in January 1988. Her corneal sutures were removed in November 1988. A neodymium-YAG laser posterior capsulotomy was performed in March 1989. During retinal surgery, cryotherapy under direct visualization was applied to an area of anterior circumferential lattice in the 2 o'clock position and an adjacent retinal tear. The vortex ampulla and veins were not treated.Intrascleral sutures were placed in each quadrant without premature drainage. The buckle and band were put into