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Volcano explosion in the eye: Expulsive choroidal haemorrhage

Namrata Sharma, Tushar Agarwal, JeewanS Titiyal, RasikB Vajpayee, Prakhyat Roop
Published: 1 January 2022
 by  Medknow

Abstract: Background : This video shows the dreaded complication of expulsive suprachoroidal haemorrhage in a penetrating keratoplasty . It teaches the various measures that help in preventing and managing the challenge peri-operatively. Purpose: This video is intended to sensitize the corneal surgeons about this rare complication using real-time surgical video and prepare them to face this challenge by demonstrating the preventive and mitigating strategies. Synopsis: A patient who was suitably taken up for an autokeratoplasty had expulsive choroidal haemorrhage in the non-seeing eye. This complication was managed using glycerin-preserved donor corneal button. Further, the video discusses various pre-operative and intra-operative optimizations to avoid such a complication and mitigate the damage caused by it, should it ever happen during a surgery. Highlights: Expulsive choroidal haemorrhage can be a traumatizing event and one must be mentally prepared to manage it. Pre-operative high-risk factors should always be managed and intra-operative maneuvers performed to prevent the complication, as shown in the video. Video link:
Keywords: video / optimizations / Expulsive choroidal haemorrhage / http / pre

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