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Impressum
Choroidal haemorrhage and posterior Sclerotomy after complicated Cataractextraction: a case report
Spindler V. D.
Eyeclinic Dessau, Auenweg38, D-06847 Dessau
Patient: A 83 year old diabetic women lost her independence to
lock after herself due to reduction of visual acuity in her only seeing
eye. That eye had an acuity of 0.3, Myopia, dens Nuclear Cataract with
Pseudoexoliativ Glaucoma and Phacodonesis. The other eye had, with counting
fingers and projection of light, no useful function.
Surgery and follow up: After a normal Phaco-Chop procedure a spontaneous
posterior capsular tear with vitreous loss occurred due to choroidal haemorrhage.
We carried out an anterior vitrectomy followed by implantation of an anterior
chamber lens. The follow up showed an extensive haemorrhagic choroidal
detachment with visual acuity of counting finger an incorrect light perception.
To release the haemorrhagic chorioidal detachment we carried out a posterior
sclerotomy under general anaesthesia. As a result the chorioidal detachment
settled very well.
Results: The follow up has been without complication. The uncorrected
visual acuity (UCVA) increased to 0.7 and the Patient gained her independent
life again.
Conclusion: It is worth providing a choroidal haemorrage because
in some cases useful function can be kept.