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    Unseen Danger of Expulsive Choroidal Hemorrhage

    AAO 2020 Video Program
    Glaucoma, Surgical Management

    Suprachoroidal hemorrhage is a dreaded complication of intraocular surgery. Patients with inflammatory eye disorders and chronic glaucoma are at high risk for this devastating untoward event during corneal replacement procedures. The personal experience of anticipating the danger, timely recognition and prompt action salvaged the only seeing eye of a young acid attack victim and the second eye for an elderly lady. Review of the surgical videos will provide new learnings. The two cases are unusual and unique in their presentation and outcomes. The film is designed to share the surgeon's perspective in real time and provide new educational insights. A review of the various predisposing factors and interventional measures will be provided, with specific reference to the two cases illustrating a first-person account of the practical difficulties one may have to deal with despite the best of surgical hands and years of experience. The movie will be a knowledge-enhancing tool regarding a condition that even today never fails to strike fear when it erupts. The benefit of being well prepared to face the known and present danger needs reinforcement and substantiation.