dc.creator | Flores Márquez, Ana | es |
dc.creator | Urbinati, Facundo | es |
dc.creator | Rocha de Lossada, Carlos | es |
dc.creator | Moreno Gutiérrez, Juan Ángel | es |
dc.creator | Munteanu, Mihnea | es |
dc.creator | Ferrara, Mariantonia | es |
dc.creator | Fernández, Joaquín | es |
dc.date.accessioned | 2023-03-23T15:07:31Z | |
dc.date.available | 2023-03-23T15:07:31Z | |
dc.date.issued | 2023 | |
dc.identifier.citation | 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. | |
dc.identifier.issn | 1010-660X | es |
dc.identifier.issn | 1648-9144 | es |
dc.identifier.uri | https://hdl.handle.net/11441/143537 | |
dc.description.abstract | 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. | es |
dc.format | application/pdf | es |
dc.format.extent | 11 p. | es |
dc.language.iso | eng | es |
dc.publisher | MDPI | es |
dc.relation.ispartof | Medicina-Lithuania, 59 (3), 1-11. | |
dc.rights | Atribución 4.0 Internacional | * |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | * |
dc.subject | Cataract surgery | es |
dc.subject | Phacoemulsification | es |
dc.subject | Suprachoroidal hemorrhage | es |
dc.subject | Expulsive hemorrhage | es |
dc.subject | Visual prognosis | es |
dc.title | Management of Suprachoroidal Hemorrhage during Phacoemulsification: A Comprehensive Review | es |
dc.type | info:eu-repo/semantics/article | es |
dcterms.identifier | https://ror.org/03yxnpp24 | |
dc.type.version | info:eu-repo/semantics/publishedVersion | es |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | es |
dc.contributor.affiliation | Universidad de Sevilla. Departamento de Cirugía | es |
dc.relation.publisherversion | https://www.mdpi.com/1648-9144/59/3/583 | es |
dc.identifier.doi | 10.3390/medicina59030583 | es |
dc.journaltitle | Medicina-Lithuania | es |
dc.publication.volumen | 59 | es |
dc.publication.issue | 3 | es |
dc.publication.initialPage | 1 | es |
dc.publication.endPage | 11 | es |