Cases reported "Choroid Hemorrhage"

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1/7. Spontaneous suprachoroidal haemorrhage in a patient receiving low-molecular-weight heparin (fraxiparine) therapy.

    Spontaneous suprachoroidal bleeding is a rare event. Of the six previously reported cases, five had identifiable mechanisms for the development of choroidal bleeding in addition to concurrent systemic anticoagulation/thrombolytic therapy. We report a case of spontaneous suprachoroidal haemorrhage in a patient who received subcutaneous low-molecular-weight heparin therapy but without any identifiable ocular condition predisposing to choroidal bleeding.
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2/7. Post-traumatic scedosporium inflatum endophthalmitis.

    This is the first documented case of post-traumatic scedosporium inflatum endophthalmitis and only the second of S. inflatum endophthalmitis occurring in a non-immunocompromised individual, to the authors' knowledge. A case is reported of a 57-year-old woman who, while chopping wood, had a wood chip hit her in the right eye. This caused a penetrating corneal injury with uveal prolapse and damage to the crystalline lens. There were also vitreous and suprachoroidal haemorrhages. No detectable intraocular foreign material was retained. The clinical manifestation of infection was delayed, but once established, it was very destructive. The initially indolent endophthalmitis eventually led to loss of all light perception and panophthalmitis which required enucleation. The responsible strain of S. inflatum was found to be resistant to all antifungal medication in vitro.
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3/7. Suprachoroidal haemorrhage. Secondary management.

    We report a case of successful management of expulsive suprachoroidal haemorrhage following cataract surgery. This case study highlights the strategy of adequate management.
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4/7. Suprachoroidal haemorrhage following Nd:YAG laser posterior capsulotomy.

    Nd:YAG laser posterior capsulotomy is the commonest procedure for posterior capsule thickening following cataract surgery. Complications following this laser surgery are relatively few, and this is ordinarily a safe and effective procedure. Herein a case is described of suprachoroidal haemorrhage following Nd:YAG laser posterior capsulotomy. To the best of the authors' knowledge, this is the first report of this complication.patients undergoing this procedure should be warned of this rare but potentially devastating complication.
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5/7. Spontaneous suprachoroidal hemorrhage secondary to thrombolysis for the treatment of myocardial infarction.

    Suprachoroidal haemorrhage occurs most commonly as an intraoperative or a postoperative complication of ocular surgery. Spontaneous suprachoroidal haemorrhage is rare. Herein a case is described of spontaneous suprachoroidal haemorrhage in a patient who received recombinant tissue plasminogen activator for the treatment of a myocardial infarction. Systemic thrombolysis may induce spontaneous suprachoroidal haemorrhage. Prompt diagnosis and treatment can improve the likelihood of a favourable visual outcome. To the authors' knowledge, there have been only three previous reports in the literature of spontaneous suprachoroidal haemorrhage secondary to thrombolysis.
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6/7. A case of miliary tuberculosis with disseminated choroidal haemorrhages.

    A 20-year-old Japanese man had generalised miliary tuberculosis. Although he had no ocular symptoms, choroidal miliary tuberculosis with pleomorphic findings, including disseminated choroidal haemorrhages, was noted in both fundi. The haemorrhages disappeared as the patient's condition improved on medical therapy. Disseminated choroidal haemorrhages should be looked for in patients with miliary tuberculosis.
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7/7. Expulsive choroidal haemorrhage--a clinical and pathological review.

    This paper describes two cases of expulsive choroidal haemorrhage (ECH) where the final corrected visual acuity was 6/5. The management of one case consisted simply of vitrectomy; and the other of suprachoroidal drainage of blood followed by vitrectomy. The pathological findings in a series of eyes enucleated following ECH are also described. The literature is reviewed with regard to the aetiology, pathology and management of ECH.
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