AAO 2015

    Expulsive suprachoroidal hemorrhage is a rare but devastating complication of cataract surgery. A 65-year-old male patient was referred to the authors for management after a massive intraoperative expulsive hemorrhage. After waiting for 2 weeks to allow the suprachoroidal blood to liquefy, the patient was taken to surgery. This video highlights the steps to drain a suprachoroidal hemorrhage, allowing access to the vitreous cavity. A pars plana vitrectomy was done to clear the vitreous hemorrhage. Subsequently, a large submacular organized clot was noted, which was removed bimanually after creating a superior 180-degree retinectomy. Silicon oil tamponade was also used. The patient stabilized over the next 4 to 6 weeks to achieve best corrected vision of 6/36.