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Results for “Choroid Hemorrhage”

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At least 19 recordsLinked to original sources
PubMed1983

[Clinical observations of choroidal hemorrhage and choroidal effusion. A contribution on expulsive bleeding].

A prospective study covering a period of 10 years is presented, which deals in particular with expulsive and nonexpulsive hemorrhages after intracapsular cataract extraction and with massive choroidal hemorrhage. In 7230 intracapsular cataract operations 2 expulsive and 6 nonexpulsive hemorrhages were seen, as well as 1 case of choroidal effusion. During the same period 9 cases of spontaneous massive choroidal hemorrhage were referred for inpatient treatment. The importance of choroidal effusion must be pointed out, even though it is much less common than choroidal hemorrhage. The precise mechanism of choroidal effusion seems to be unknown. On the other hand a massive hemorrhage will probably lead to an expulsive hemorrhage when it coincides with opening of the bulbus. In the light of the author's statistics it appears to be a change occurrence.

Adult↗
PubMed1998

Delayed-onset expulsive choroidal hemorrhage following traumatic globe rupture.

The authors describe a 59-year-old woman who had a traumatic wound rupture 6 months following penetrating keratoplasty. While she was in the pre-operative holding area awaiting surgical repair, hemorrhagic choroidal detachments developed. Digital pressure was initiated on diagnosis of imminent expulsion of intraocular contents and maintained until repair of the wound rupture could be performed. Four months postoperatively, the patient's vision was 20/80 and her central pachymetry was 585 microns. This case demonstrates that a delayed-onset expulsive choroidal hemorrhage may be successfully managed with simple and rapid intervention based on knowledge of the disease process.

Choroid Diseases↗
PubMed1987

Limited choroidal hemorrhage mistaken for a choroidal melanoma.

Considerable progress has been made during the last few years in evaluating patients with suspected choroidal melanomas but difficulties continue to persist. In this report, the authors describe three cases with an unusual localized posterior choroidal hemorrhage, which were thought to be choroidal melanomas and referred for proton beam irradiation. These limited hemorrhagic choroidal detachments presented as a dark brown mass of considerable elevation, but were discrete, well localized, and located posterior to the equator. Fluorescein angiography and ultrasonography may be of some value in differentiating these lesions from choroidal melanomas. Serial observations over time will establish the correct diagnosis.

Aged↗
PubMed1993

Perioperative choroidal hemorrhage at pars plana vitrectomy. A case-control study.

PURPOSE: Risk factors for choroidal hemorrhage during pars plana vitrectomy surgery are currently not well defined. The authors analyzed potential risk factors for perioperative choroidal hemorrhage at pars plana vitrectomy in a case-control study. METHODS: Of 683 consecutive vitrectomy procedures, 13 cases of choroidal hemorrhage were identified in the operative or immediate postoperative period. Fifty vitrectomy controls from the same period were randomly selected and were compared with the hemorrhage cases by univariate analysis with respect to various potential risk factors. RESULTS: The incidence of choroidal hemorrhage associated with vitrectomy was 1.9%. Statistically significant risks (P < or = 0.05) included: greater age (mean, 70.9 versus 52.1 years); elevated preoperative pressure (19.9 versus 13.0 mmHg); preoperative diagnosis of rhegmatogenous retinal detachment (relative risk, 8.1); aphakic or pseudophakic status (relative risk, 5.2); and scleral buckle procedure at vitrectomy (relative risk, 12.0). Eyes with previous ocular trauma and previous vitrectomy had a reduced risk of choroidal hemorrhage. The incidence of severe visual loss (final visual acuity < 5/200) did not differ significantly from controls. CONCLUSIONS: Significant risk factors for choroidal hemorrhage are identified in this study which may help to identify patients at increased risk for this complication. Good visual outcome is possible after choroidal hemorrhage at vitrectomy (69% with visual acuity > 5/200).

Aged↗
PubMed1987

Limited choroidal hemorrhage associated with extracapsular cataract extraction.

Limited choroidal hemorrhage was observed in eight (2.2%) of 368 eyes subjected to extracapsular cataract extraction, compared with a rate of 3.07% in our previous study, in which the technique employed was intracapsular extraction. The difference was found to be significant only for eyes with high myopia. Myopia was found to be the main risk factor for the development of limited choroidal hemorrhage, especially when general anesthesia was used. The presence of glaucoma or the combination of extracapsular cataract extraction and trabeculectomy may increase the susceptibility to this complication. The occurrence of limited choroidal hemorrhage did not affect the final visual function.

Adult↗
PubMed1986

Cataract surgery after expulsive choroidal hemorrhage in the fellow eye.

Expulsive choroidal hemorrhage (ECH) is a dramatic and serious complication of cataract surgery that occurred in four of 8,285 consecutive cataract operations performed at the Jules Stein Eye Institute from 1970 to 1983, an incidence of 0.05%. This report reviews six patients who had uncomplicated cataract surgery after an expulsive choroidal hemorrhage occurred during cataract operation in the fellow eye. Factors predisposing to ECH are considered, and recommendations to minimize the risk of this complication during preoperative, operative, and postoperative periods are presented.

Adult↗
PubMed1987

Clinicopathologic study of eyes obtained postmortem from a patient 6 and 2 years after operative choroidal hemorrhage.

We present the clinicopathologic features of a patient who developed bilateral choroidal hemorrhage during cataract surgery and who regained 20/30+ vision in each eye. Consequences related to the operative procedure and choroidal hemorrhage included iris and vitreous incarceration with inferior peripheral tractional retinoschisis, retained lens cortex, and an anterior capsule fragment lodged in the anterior chamber angle. A recent choroidal hemorrhage associated with a thrombosed vortex vein was observed in one eye. The favorable outcome was likely due both to preplaced sutures that allowed immediate tamponade of the hemorrhage and to the additional possible tamponading effect of an intact posterior capsule in the left eye. The possible role of venous stasis leading to vortex vein thrombosis as a cause of recent choroidal hemorrhage is discussed.

Aged↗
PubMed1996

Choroidal hemorrhage associated with systemic tissue plasminogen activator.

PURPOSE: To determine the cause of spontaneous choroidal hemorrhage in a 67-year-old man after a myocardial infarction and administration of tissue plasminogen activator. METHODS: The patient underwent ocular examination. RESULTS: The patient retained excellent visual acuity and the choroidal hemorrhage resolved completely within two months. CONCLUSION: The administration of tissue plasminogen activator was responsible for the large extent of hemorrhage and should be considered in the differential diagnosis of hemorrhagic choroidal detachment.

Aged↗
PubMed2002

Intraoperative choroidal hemorrhage in the Osler-Rendu-Weber syndrome.

PURPOSE: To describe a patient with Osler-Rendu-Weber syndrome who developed a nonsimultaneous intraoperative choroidal hemorrhage in each eye. METHOD: Interventional case report. A 65-year-old Caucasian woman with Osler-Rendu-Weber syndrome developed a choroidal hemorrhage in the left eye during vitrectomy for a complicated retinal detachment with a poor visual outcome. Fifteen years later, she developed a macula on retinal detachment in the right eye, which also had a dense cataract. Immediately after uncomplicated phacoemulsification and intraocular lens implantation, under monitored anesthesia care and retrobulbar block, and without valsalva stress, ophthalmoscopy demonstrated a choroidal hemorrhage. A planned scleral buckle was replaced by pneumatic retinopexy. RESULTS: Seven months postoperatively, the retina remained attached with resolution of the choroidal hemorrhage. Visual acuity was 20/30. CONCLUSION: Choroidal hemorrhage may occur more commonly in individuals with Osler-Rendu-Weber syndrome. Recognition of this possible association and institution of appropriate intraoperative precautions may facilitate a good visual outcome.

Aged↗
PubMed1992

Choroidal vascular aneurysm with massive choroidal hemorrhage.

A rare case of a choroidal vascular aneurysm arising from the short posterior ciliary artery is reported in a 40-year-old woman. The aneurysm was detected by fluorescein angiography. It caused recurrent choroidal hemorrhage with blindness as the outcome. The diagnosis of aneurysm would have been missed without fluorescein angiography. A search should be made for choroidal vascular aneurysm in cases of spontaneous choroidal and vitreous hemorrhage both clinically (using fluorescein angiography) and histopathologically (in the event of enucleation of the eyeball).

Adult↗
PubMed1988

Intraocular lens implantation following expulsive choroidal hemorrhage.

Uncomplicated posterior chamber intraocular lens implantation was performed in two eyes that had been salvaged after expulsive choroidal hemorrhage during a previous cataract operation and in one eye after loss of the fellow eye from expulsive choroidal hemorrhage. The procedure was performed in a 72-year-old woman three weeks after and in an 81-year-old man four months after the successful management of expulsive choroidal hemorrhage. A third patient, an 84-year-old woman, had posterior chamber intraocular lens implantation in her remaining eye six years after the loss of other eye. All three patients had a final visual acuity of 20/40 or better after a follow-up period of six months to four years.

Aged↗
PubMed2003

Massive spontaneous choroidal hemorrhage.

PURPOSE: To describe the course, management, and prognosis of massive spontaneous choroidal hemorrhage. METHODS: The presenting visual acuity, ocular findings, duration to surgical intervention, and outcomes of five patients were retrospectively reviewed. RESULTS: Five eyes from four patients (median age, 80 years; range, 66-85 years) were studied. The patients were observed from 4 to 72 months (median, 33 months). Three patients were on anticoagulation therapy with warfarin; one patient had bilateral involvement with no history of anticoagulation therapy. Three patients were hypertensive, and three of the four had been diagnosed with age-related macular degeneration. Four eyes underwent choroidal drainage procedures, and one was observed. In all patients whose choroids were drained, the final vision was no light perception. CONCLUSIONS: Massive spontaneous choroidal hemorrhage may be associated with hypertension, systemic anticoagulation, advanced age, and age-related macular degeneration. Final visual acuities are generally poor.

Age Factors↗
PubMed1992

Recurrent hemorrhagic choroidal detachment associated with disseminated intravascular coagulation.

We report the case of a patient with recurrent hemorrhagic choroidal detachments after combined cataract and filtering surgery associated with exacerbation of chronic disseminated intravascular coagulation (DIC). It was postulated that the formation and drainage of the hemorrhagic choroidal detachments induced thrombin generation and consequently coagulation factor and platelet consumption. Fibrinolysis resulted in the release of fibrin-degradation products (FDP). Consumption of clotting factors and platelets combined with FDP release may result in decompensation of a chronic DIC state and cause a bleeding diathesis. This case shows the need for complete hematologic evaluation of patients with hemostatic abnormalities.

Aged↗
PubMed2005

[Intraoperative choroidal hemorrhage in patient with Osler-Rendu syndrome].

UNLABELLED: The authors describe a 79-year-old man with Osler-Rendu-Weber syndrome, who developed intraoperative choroidal hemorrhage in left eye. During phacoemulsification under local anesthesia, shallowing of the anterior chamber was observed. Acetazolamide was administered and peribulbar block performed. Phacoemulsification was continued and intraocular lens implanted. Five months postoperatively resolution of the choroidal hemorrhage was observed. Best corrected visual acuity was 0.5. Patient developed retinal embolism in his right eye 16 years earlier. CONCLUSIONS: (1) Choroidal hemorrhage may occur more commonly in patients with Osler-Rendu-Weber syndrome. Recognition of this possible association and institution of appropriate intraoperative precautions may facilitate a good visual outcome. (2) Paradoxical embolization (stroke, retinal embolism) is the most serious consequence of hereditary hemorrhagic telangiectasia.

Aged↗
PubMed1993

[Intraoperative explosive choroidal hemorrhage (report of four cases)].

Intraoperative explosive choroidal hemorrhage (ECH) is a rare, but severe complication of intraocular surgery. This complication often occurs during or after intraocular surgery. We report four cases that developed this complication during surgery. Once the complication occurs, we should use the dehydration medicine intravenously, suture the incision, application of pressure directly to the eye and incise the postsclera. If the bleeding can't be stopped, enucleation is the indication.

Aged↗
PubMed1977

Malignant melanoma of the choroid associated with spontaneous expulsive choroidal hemorrhage.

A 79-year-old man initially had a perforated corneal ulcer of his blind right eye. The next day a spontaneous expulsive choroidal hemorrhage occurred just before scheduled enucleation. Histopathologic examination of the enucleated eye revealed a severe necrosis of several posterior ciliary arteries in the expulsive choroidal hemorrhage, as well as a large occult spindle B malignant melanoma of the choroid. The necrosis of the posterior ciliary arteries may have been the cause of the choroidal hemorrhage. The finding of an occult malignant melanoma may be more than a chance occurrence of two unrelated events, inasmuch as both are associated with necrosis of the posterior ciliary arteries.

Aged↗
PubMed1975

Expulsive choroidal hemorrhage.

An unusual case of expulsive choroidal hemorrhage is described. The hemorrhage developed sixteen days after an uneventful cataract extraction and after the removal of corneoscleral sutures. The different types of expulsive hemorrhage, their pathogenesis and management are discussed. Eye surgeons are urged to handle this condition with determination and optimism.

Aged↗
PubMed1984

Limited choroidal hemorrhage associated with intracapsular cataract extraction.

In a prospective study, limited choroidal hemorrhage (LCH) was found in 16 of 521 eyes (3.07%) subjected to cataract extraction. It developed in ten of 69 highly myopic eyes (14.49%), three of 64 moderately myopic eyes (4.49%), and three of 388 eyes without clinically significant myopia (0.77%). A positive correlation was found between LCH and vitreous loss in myopic eyes. A cause and effect relationship was not established. Of systemic factors investigated, an association was found between LCH and cardiovascular disease (14 of 16 cases). The ophthalmoscopic appearance and clinical findings support the hypothesis that LCH and expulsive choroidal hemorrhage are manifestations of the same disease processes and share common pathophysiologic mechanisms. The cause in any one case is probably multifactorial.

Aged↗