Jay Sheth » Miscellaneous

Apr 6 2018 by Jay Sheth

Expulsive suprachoroidal hemorrhage(SCH) is a catastrophic complication of intraocular surgery. Current management includes SCH drainage through external sclerotomies & intermittent fundus evaluation by IO. We describe a novel surgical technique, utilizing chandelier-assisted wide-angled visualization of various steps of SCH drainage in 62/M. Using the wide-angle viewing system & 23G extrusion cannula through asclerotomy, active drainage of SCH was performed whereby we beautifully demonstrate separation of the kissing choroids with gradual unmasking of macula &disc underneath. Post-operatively, patient improved to CF3m & eye was successfully salvaged. Our educational video demonstrates that chandelier-assisted controlled drainage of SCH under continuous visualization is an easy technique to achieve excellent anatomical & visual outcomes with better safety profile. It can be instrumental in training residents & fellows who can simultaneously visualize surgical steps along with surgeon.

Condition/keywords: suprachoroidal hemorrhage, video