An Alternative Approach for External Drainage of Suprachoroidal Hemorrhage: Active Aspiration with Butterfly Needle

Karaca, Umut; Durukan, Ali Hakan; Küçükevcilioğlu, Murat; Usta, Gülşah; Yılmaz, Alper Can

doi:10.1080/08820538.2021.1890790

Cited by 5 publications

(3 citation statements)

References 19 publications

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“…A combination of SCH drainage with PPV is advisable in cases involving vitreoretinal traction, retinal detachment, vitreous incarceration, dense diffuse hemorrhage, or a dislocated cataract fragment [ 5 , 13 , 21 ]. Moreover, active aspiration techniques that utilize the aspiration strength of the vitrectomy suite and the infusion pump of the system have been proven to be successful in forcing hemorrhagic material out of the DS and could be useful in challenging cases [ 40 ]. Silicone oil is the preferred intraocular tamponade due to its long-term tamponade action and minimization of ocular hypotension, thus preventing potential rebleeding [ 21 , 35 ].…”

Section: Managementmentioning

confidence: 99%

Management of Suprachoroidal Hemorrhage during Phacoemulsification: A Comprehensive Review

et al. 2023

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Suprachoroidal hemorrhage (SCH) is a rare and sight-threatening complication of various intraocular surgeries, including cataract surgery. Although the rate of SCH complicating cataract surgery has decreased in the era of phacoemulsification, most likely due to smaller self-sealing incisions and modern equipment, it remains a challenging complication to manage. The aim of this review is to summarize the current evidence of the pathophysiology and management of SCH complicating phaco surgery. A literature review was performed using the PubMed database searching for diagnosis, therapy, and management of SCH during phacoemulsification. The evidence available on the optimal management of this condition is low, and there is no consensus so far. An early diagnosis is thought to be essential to avoid progression to the devastating stage of expulsion of intraocular contents (expulsive hemorrhage). Sudden intraoperative anterior chamber shallowing, red reflex loss, and a significant increase in intraocular pressure are highly suspicious for this severe complication. A fundus examination and ocular ultrasound are crucial to confirm the diagnosis and, if it is confirmed, stabilize the globe immediately. The initial therapeutic approach includes aggressive topical and systemic medication focused on controlling ocular inflammation and intraocular pressure, whereas the timing and the indications of surgical intervention remain controversial.

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Section: Managementmentioning

confidence: 99%

Management of Suprachoroidal Hemorrhage during Phacoemulsification: A Comprehensive Review

et al. 2023

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“…These vitreous substitutes can be balanced salt solution, gas, heavy liquid, or even viscoelastic [84, 113]. Active drainage using a needle has also been attempted [149, 150].…”

Section: Managementmentioning

confidence: 99%

Suprachoroidal Hemorrhage

Mohan,

Sadeghi,

Mohan

et al. 2023

Ophthalmologica

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Suprachoroidal hemorrhage (SCH) refers to the accumulation of blood in the suprachoroidal space, a relatively uncommon but significant complication that can occur spontaneously, during ophthalmic surgery or as a consequence of ocular trauma. If left undiagnosed and untreated, SCH can lead to severe vision loss or even blindness. Therefore, it is crucial for ophthalmologists to have a thorough understanding of this complication, taking proactive measures to prevent it during surgery and being knowledgeable about effective management strategies for patients with SCH. This review article aims to provide a comprehensive overview of SCH, covering its risk factors, diagnostic approaches, and the best practices for its management. By enhancing awareness and knowledge in this area, we can improve patient outcomes and minimize the impact of SCH in ophthalmic practice.

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“…ları tarafından tanımlanmıştır. [19] Bu yöntemde sklerotomi içine sokulan kelebek iğnenin (anjiyokat) sadece kanül kısmı kullanılarak, SKH bu kanülle daha derinlere ulaşılarak direne edilmektedir. Sklerotominin çapına bağlı olarak gerekirse kapatmak için 8-0 vikril sütür kullanılabilir.…”

Section: Travmatik Retina Hemorajileriunclassified

Traumatic Retinal and Choroidal Hemorrhages

2022

Güncel Retina (Current Retina)

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An Alternative Approach for External Drainage of Suprachoroidal Hemorrhage: Active Aspiration with Butterfly Needle

Cited by 5 publications

References 19 publications

Management of Suprachoroidal Hemorrhage during Phacoemulsification: A Comprehensive Review

Management of Suprachoroidal Hemorrhage during Phacoemulsification: A Comprehensive Review

Suprachoroidal Hemorrhage

Traumatic Retinal and Choroidal Hemorrhages

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