IMAGE OF THE MONTH: April 2024
Suprachoroidal Hemorrhage abutting Anterior Chamber Intraocular Lens
A 93 year-old male presented with a large suprachoroidal hemorrhage post-anterior chamber intraocular lens (ACIOL) placement following surgery for a dislocated lens. The exam was remarkable for appositional hemorrhagic choroidals abutting the ACIOL. He was without pain, had a stable anterior chamber, his intraocular pressure was 23 mmHg controlled on dorzolamide/timolol drops, and his visual acuity was light perception. How would you manage this patient?
Next Step
He was managed conservatively with topical therapy for 17 days (prednisolone 6x/day and atropine 2/day), followed by choroidal drainage surgery, upon warfarin cessation. At post-operative month three, he refracted to 20/80 and the hemorrhage was nearly resolved, although he retained undulations of his retinal pigment epithelium within the macula.
Check back soon for the diagnosis and the next Image of the Month posting!
Have an interesting image to share?
Email it to us at vitbuckleimage@gmail.com