Artículo
Management of Suprachoroidal Hemorrhage during Phacoemulsification: A Comprehensive Review
Autor/es | Flores Márquez, Ana
Urbinati, Facundo Rocha de Lossada, Carlos Moreno Gutiérrez, Juan Ángel Munteanu, Mihnea Ferrara, Mariantonia Fernández, Joaquín |
Departamento | Universidad de Sevilla. Departamento de Cirugía |
Fecha de publicación | 2023 |
Fecha de depósito | 2023-03-23 |
Publicado en |
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Resumen | Suprachoroidal hemorrhage (SCH) is a rare and sight-threatening complication of various
intraocular surgeries, including cataract surgery. Although the rate of SCH complicating cataract
surgery has decreased in the era ... Suprachoroidal hemorrhage (SCH) is a rare and sight-threatening complication of various intraocular surgeries, including cataract surgery. Although the rate of SCH complicating cataract surgery has decreased in the era of phacoemulsification, most likely due to smaller self-sealing incisions and modern equipment, it remains a challenging complication to manage. The aim of this review is to summarize the current evidence of the pathophysiology and management of SCH complicating phaco surgery. A literature review was performed using the PubMed database searching for diagnosis, therapy, and management of SCH during phacoemulsification. The evidence available on the optimal management of this condition is low, and there is no consensus so far. An early diagnosis is thought to be essential to avoid progression to the devastating stage of expulsion of intraocular contents (expulsive hemorrhage). Sudden intraoperative anterior chamber shallowing, red reflex loss, and a significant increase in intraocular pressure are highly suspicious for this severe complication. A fundus examination and ocular ultrasound are crucial to confirm the diagnosis and, if it is confirmed, stabilize the globe immediately. The initial therapeutic approach includes aggressive topical and systemic medication focused on controlling ocular inflammation and intraocular pressure, whereas the timing and the indications of surgical intervention remain controversial. |
Cita | Flores Márquez, A., Urbinati, F., Rocha de Lossada, C., Moreno Gutiérrez, J.Á., Munteanu, M., Ferrara, M. y Fernández, J. (2023). Management of Suprachoroidal Hemorrhage during Phacoemulsification: A Comprehensive Review. Medicina-Lithuania, 59 (3), 1-11. https://doi.org/10.3390/medicina59030583. |
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