AI Summary & Key Takeaways
AI InsightDiscussion: Acute suprachoroidal expulsive hemorrhage is a rare but serious complication of cataract surgery and should always be kept in mind.
📌 3 Key Takeaways
Abstract
Purpose: To present a case of suprachoroidal expulsive hemorrhage during combined cataract and glaucoma surgery. Method: Case report Case: 77-year old male patient came to our clinic with a complaint of decreased vision in the right eye. He reported to have had a blunt trauma in his right eye 6-7 years ago. He has been receiving antiglaucomatous therapy for 7 years. He had no other systemic disease except hypertension. In the slitlamp examination he had traumatic mydriasis, phacodonesis, grade 4 nuclear cataract (rock-hard cataract) in the right eye and grade III nuclear cataract in the left eye. According to the fundus examination; left eye had tigroid appearance, vascular sclerosis and macula was found to be normal. Right eye could not be visualized but its ocular ultrasonography was normal. Discussion: Acute suprachoroidal expulsive hemorrhage is a rare but serious complication of cataract surgery and should always be kept in mind.
Özet
Amaç: Kataraktla kombine glokom cerrahisi esnasında gelişen suprakoroidal ekspulsif hemoraji olgusunu sunmaktır. Yöntem: Olgu sunumu Olgu: 77 yaşında erkek hasta sağ gözünde görmesinin azaldığını ifade ederek kliniğimize başvurdu. Hikayesinde 6-7 yıl önce sağ gözüne travma aldığını ifade ediyordu. 7 yıldır antiglo-komatöz tedavi alan hastanın hipertansiyon dışında sistemik hastalığı yoktu. Biomikroskopik muayenede sağ gözde travmatik midriasis, fakodonezis, grade 4 nükleer skleroz katarakt, sol gözde grade 3 nükleer skleroz katarakt mevcut olup fundoskopik muayenede sol gözde retinada tigroid görünüm, vasküler yapılar ileri derecede sklerotik, maküla doğal, sağ göz fundusu izlenememekle beraber oküler ultrasonografi normal idi. Tartışma: Akut suprakoroidal ekspulsif hemoraji katarakt cerrahisinin nadir ancak ciddi bir komplikasyonu olup her zaman akılda tutulmalıdır.