Expulsive Suprachoroidal Hemorrhage During Continuous Positive Airway Pressure Treatment

Abstract

One of the mechanisms of expulsive suprachoroidal hemorrhage is pressure to the sclera that causes stretching and rupture of posterior ciliary arteries in the presence of full thickness wounds. With this report we present a case of expulsive suprachoroidal hemorrhage in the presence of a full thickness graft–host junction wound. A 73-year-old female patient had a full thickness rupture of the graft–host junction in the 4 o’clock hour quadrants. Expulsive suprachoroidal hemorrhage occurred shortly after the initiation of continuous positive airway pressure therapy, and light perception was negative. The intraocular tissues were replaced in the globe after the drainage of the intraocular hemorrhage and the existing graft was sutured to the host under sub-Tenon’s anesthesia. Although the wounds and sutures remained stable, visual acuity did not improve.

Keywords

• Suprachoroidal hemorrhage,trauma,penetrating ocular trauma,perforating ocular trauma,continuous positive airway pressure

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