الفهرس 
GROSS ANATOMY OF THE CHOROIDOnly 14 pages are availabe for public view
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Abstract
ABSTRACT
Background:
Suprachoroidal hemorrhage (SCH) is a rare condition, defined as blood in the suprachoroidal space, consequent to rupture of the short or long posterior ciliary arteries or vortex veins or their tributaries. Although reports have appeared of spontaneous SCH, it most commonly presents with a traumatic etiology or as complication of ocular surgery.
The clinical presentation may associate with vitreous hemorrhage and occasionally angle closure, as a consequence of the increased posterior-segment pressure. Later, retinal detachment occurs with a high risk of proliferative vitreoretinopathy. The condition appears to associate with “toxic” or hypoxic changes in the retina.
The key to preserving an eye with an intraoperative suprachoroidal hemorrhage is early recognition and prompt action prior to the expulsion of intraocular contents. In order to expeditiously manage an intraoperative suprachoroidal hemorrhage, prepare yourself for the event prior to every intraocular surgical procedure. Acknowledge that the possibility of a suprachoroidal hemorrhage does exist, even though it is uncommon. Craft a management strategy in advance and have all of the necessary tools immediately available.
Methods:
MEDLINE/PubMed and Ovid databases were searched. Search words were suprachoroidal hemorrhage, ocular surgery, risk factors, and cataract extraction/adverse effects. Articles involving the development of SCH in the perioperative period were included in this article. Articles that combined SCH with other entities, such as choroidal effusions were excluded.
Conclusion:
Suprachoroidal hemorrhage, both expulsive and delayed, is a rare, but severely debilitating complication of intraocular surgery. A thorough understanding of the pathophysiology, risk factors, and clinical outcome of patients who develop SCH can help the ophthalmic surgeon successfully avoid this complication in patients at risk, as well as help in the postoperative management in those patients who develop SCH during or after intraocular surgery.
Keywords:
Suprachoroidal Hemorrhage