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Suprachoroidal hemorrhage during secondary intraocular lens implantation in an eye with prior vitrectomy Hiroshi Haruyama 1 , Masahito Imai 1 , Hiroyuki Iijima 1 1Dept of Ophthalmol, Yamanashi Med Univ pp.1383-1386
Published Date 2002/8/15
DOI https://doi.org/10.11477/mf.1410907846
  • Abstract
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A 51-year-old man had received vitrectomy and lensectomy for intraocular foreign body in his left eye 6 months before. Preliminary to secondary intraocular lens (IOL) implantation, a pars plana infusion port was created. The iris prolapsed during perfusion through an sclerocorneal tunnel. An IOL was inserted and sulcus-fixated without perfusion. Hemorrhagic choroidal detachment and retinal detachment developed immediately. We performed transscleral drainage and replaced the vitreous by sulfur hexafluoride. Hyphema and vitreous hemorrhage occurred later. Choroidal detachment had disappeared when the vitreous was irri-gated 16 days later. The affected eye regained the final visual acuity of 0.9. It appeared that the expulsive cho-roidal hemorrhage was caused by rapid ocular hypotony during IOL insertion without irrigation. Prior vitrec-tomy appeared to be another contributing factor.


Copyright © 2002, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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