Expulsive Hemorrhage - What To Do and Not To Do
This video shows two cases of expulsive hemorrhage and discusses what to do and what not to do in such a situation. The first case involves a traumatic globe rupture and pseudophacocele with an IOL in the subconjunctival space. In the second case, a bullous keratopathy patient undergoes a IEK when the surgeon notes movement in the retina choroid complex.
7,697 views since 10/4/2010
Comments (7)
wow
Anterior Segment surgeons should not really be placing cannulas in the pars plana. They are not rained to deal with the complications. It is entirely possible that the cannula was in the suprachoroidal space. Further doing pars plana vitrectomy also risks entry site breaks.
Great
Both the videos which have been showcased are worth a watch. When there is expulsive haemorrhage, there is very minimal that a surgeon can do to save the eye.Expulsive can occur even in the best of hands . Presence of mind along with rapid closure of wound is needed.The video highlights the intricasies of the ophthalmic surgery. Such videos are very rare to find. They go a long way in educating doctors. Thanks Dr. Amar for posting such a wonderful educational material on net for each one of us.
i hope the surgeon was wearing a diaper in that first case-i know i would have needed one.
I'm thinking that in the first case the infusion canula may have been under the pars plana or under the retina because I can see in the video a large retinal break under it and there was no bleeding. Did the surgeon chequed the infusion canula position before turning the irrigation on?
This is an Ophthalmic Horror movie!