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Case Reports
. 2018 Aug 20;18(1):203.
doi: 10.1186/s12886-018-0881-4.

Suprachoroidal hemorrhage followed by swept-source optical coherence tomography: a case report

Kengo Uramoto  1 , Noriaki Shimada  2 , Hiroyuki Takahashi  2 , Hideki Murai  2 , Kosei Shinohara  2 , Kyoko Ohno-Matsui  2
Affiliations
Case Reports

Suprachoroidal hemorrhage followed by swept-source optical coherence tomography: a case report

Kengo Uramoto et al. BMC Ophthalmol. .

Abstract

Background: To report a case of Suprachoroidal Hemorrhage followed by Swept-Source Optical Coherence Tomography.

Case presentation: A 66-year-old woman with a rhegmatogenous retinal detachment in her left eye underwent pars plana vitrectomy. During the intraocular photocoagulation for a retinal tear after fluid-air exchange, a vitreous hemorrhage and suprachoroidal hemorrhage (SCH) developed. The surgical incisions were closed after filling the vitreous cavity with silicone oil. Two weeks later, the hemolyzed hemorrhage was removed, and new silicone oil was injected. After the surgery, a low reflective region was detected near the macula in the swept-source optical coherence tomographic (SS-OCT) images. The low reflective region was caused by the residual hemorrhage. The size of the reflective region gradually decreased and was not present at 3 months. We conclude that SS-OCT can be used to follow the resolution of a suprachoroidal hemorrhage.

Conclusion: SS-OCT can be used to detect and follow the natural course of a suprachoroidal hemorrhage including the absorptive processes.

Keywords: High myopia; SS-OCT; Suprachoroidal hemorrhage.

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Conflict of interest statement

Ethics approval and consent to participate

Not applicable.

Consent for publication

Written informed consent was obtained from the patient for publication of this case report and any accompanying images.

Competing interests

The authors declare that they have no competing interests.

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Figures

Fig. 1
Fig. 1
Fundus photograph and swept-source optical coherence tomographic (SS-OCT) image at the initial visit
Fig. 2
Fig. 2
B-scan ultrasound image recorded on postoperative day 1. A dark area was observed in the image which was identified a suprachoroidal hemorrhage (arrow head)
Fig. 3
Fig. 3
SS-OCT images showing the resolution of a suprachoroidal hemorrhage. On postoperative day 26, a low reflective region can be seen in the suprachoroidal space (between arrowheads) in the SS-OCT image a day 26. This was considered to be a suprachoroidal hemorrhage. An elevation of the retina and choroid can be seen at the same region. The low reflective region (yellow arrows) and moderate reflective region (green arrows) are gradually absorbed and not present on postoperative day 73 b day 38, c day 56, d day 73. During the follow-up period, the RRD (white arrows) was still present, and an encircling procedure with silicone oil tamponade was performed on postoperative day 63. The hemorrhage was slowly absorbed and was not detected on postoperative day 73
See this image and copyright information in PMC

References

    1. Taylor DM. Expulsive hemorrhage: some observations and comments. Trans Am Ophthalmol Soc. 1974;72:157–169. - PMC - PubMed
    1. Tabandeh H, Sullivan PM, Smahliuk P, Flynn HW, Jr, Schiffman J. Suprachoroidal hemorrhage during pars plana vitrectomy. Curr Opin Ophthalmol. 2001;12(3):179–185. doi: 10.1097/00055735-200106000-00006. - DOI - PubMed
    1. Piper JG, Han DP, Abrams GW, Mieler WF. Perioperative choroidal hemorrhage at pars plana vitrectomy. A case-control study. Ophthalmology. 1993;100(5):699–704. doi: 10.1016/S0161-6420(93)31586-1. - DOI - PubMed
    1. Sekine Y, Takei K, Nakano H, Saotome T, Hommura S. Survey of risk factors for expulsive choroidal hemorrhage: case reports. Substantiation of the risk factors and their incidence. Ophthalmologica. 1996;210(6):344–347. doi: 10.1159/000310740. - DOI - PubMed
    1. Zhao L, Ma W, Fariss RN, Wong WT. Minocycline attenuates photoreceptor degeneration in a mouse model of subretinal hemorrhage. Am J Pathol. 2011;179(3):1265–1277. doi: 10.1016/j.ajpath.2011.05.042. - DOI - PMC - PubMed

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