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Advanced Technical IVT

Suprachoroidal hemorrhage

Severe intraoperative complication involving bleeding between the choroid and sclera, potentially vision-threatening.

Full Definition

Suprachoroidal hemorrhage is one of the most feared complications in ocular surgery, characterized by bleeding into the suprachoroidal space between the choroid and sclera. This emergency typically occurs during intraocular procedures when sudden hypotony causes choroidal vessel rupture. The condition presents as sudden shallowing of the anterior chamber, iris prolapse, or dark choroidal elevation visible through the pupil. Immediate surgical intervention may be required to prevent permanent vision loss. Documentation must include timing of onset, associated signs, and immediate management steps taken.

Usage

Usage note: This term requires immediate attention in surgical documentation due to its emergency nature.

In Context

  • "Suprachoroidal hemorrhage developed intraoperatively, requiring immediate wound closure and posterior sclerotomy." — Complication report
  • "The sudden onset of suprachoroidal hemorrhage was managed with immediate tamponade and surgical drainage." — Emergency operative note

Also known as

expulsive hemorrhage choroidal hemorrhage

Contrasted with

normal choroidal anatomy

Don't confuse with

choroidal detachment supraciliary effusion

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