Intraoperative choroidal hemorrhage in the Osler-Rendu-Weber syndrome.
OBJECTIVE
To describe a patient with Osler-Rendu-Weber syndrome who developed a nonsimultaneous intraoperative choroidal hemorrhage in each eye.


METHODS
Interventional case report. A 65-year-old Caucasian woman with Osler-Rendu-Weber syndrome developed a choroidal hemorrhage in the left eye during vitrectomy for a complicated retinal detachment with a poor visual outcome. Fifteen years later, she developed a macula on retinal detachment in the right eye, which also had a dense cataract. Immediately after uncomplicated phacoemulsification and intraocular lens implantation, under monitored anesthesia care and retrobulbar block, and without valsalva stress, ophthalmoscopy demonstrated a choroidal hemorrhage. A planned scleral buckle was replaced by pneumatic retinopexy.


RESULTS
Seven months postoperatively, the retina remained attached with resolution of the choroidal hemorrhage. Visual acuity was 20/30.


CONCLUSIONS
Choroidal hemorrhage may occur more commonly in individuals with Osler-Rendu-Weber syndrome. Recognition of this possible association and institution of appropriate intraoperative precautions may facilitate a good visual outcome.
Mahmoud
Tamer H
TH
Vitreoretinal Service and Cornea Service, Department of Ophthalmology, Duke University Medical Center, Durham, North Carolina 27710, USA.
Deramo
Vincent A
VA
Kim
Terry
T
Fekrat
Sharon
S
D000368:Aged; D002832:Choroid Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology*; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000000981:diagnostic imaging; D019654:Lens Implantation, Intraocular / Q000009:adverse effects*; D018918:Phacoemulsification / Q000009:adverse effects*; D012163:Retinal Detachment / Q000601:surgery; D013683:Telangiectasia, Hereditary Hemorrhagic / Q000150:complications*; D014463:Ultrasonography; D014792:Visual Acuity; D014821:Vitrectomy / Q000009:adverse effects*