Turkish Abstract Abstract Similar Articles

Uludağ Üniversitesi Tıp Fakültesi Göz Hast. AD This is a study o the therapeutic approach and results of a blunt trauma case that was complicated with limbal perforation, total iris loss, extrusion of the crystaline lens, and incarceration of the vitreous body to the wound area with massive suprachoroidal hemorrhage that did not include the posterior pole, leaving the macular area spared. The case was primarily repaired urgenty, with the second surgical intervention performed 2 weeks later, where the suprachoroidal hemorrhage was transsclerally drained, and the vitreous jel remnants together with intavitreal hemorrhage cleaned out through a pars plana vitrectomy procedure under a positivo intraocular pressure that was maintained by a translimbal balanced salt solution (BSS). In the postoperative follow-up period we noted that the suprachoroidal hemorrhagic remnants and the subretinal fluid have all resorbed, also the retinal and choroidal folds disappared. On the 6th week postoperative period the patient had a visual acuity o 8/10. On the fundus fluorescein angiography that was taken at the same time hypofluorescent lines with cable stone-like retinal pigment epithelial degeneration had been noted to be localized in the previous suprachoroidal hemorrhagic areas. It was thought that such an appearance was due to the regional ischemic areas that had developed after the hemorrhagic detachment of these areas. In conclusion, it is possible to get good visual results in some of the massive suprachoroidal hemorrhagic cases that did not include the posterior pole. Keywords : Suprachoroidal Hemorrhage, Transscleral Drainage, Vitrectomy, BSS infusion