Suprachoroidal hemorrhage caused by breakage of a 25-gauge cannula.
A 72-year-old woman had vitreous surgery for epiretinal membrane using the 25-gauge vitrectomy system. During the removal of the cannula at the end of the surgery, half of its tip was noted to be missing. The following day, a severe choroidal detachment associated with a hypotony was found. A second surgery was performed, including drainage of suprachoroidal hemorrhage and choroidal fluid and the removal of the tip of the 25-gauge cannula stuck inside the sclerotomy. The retained cannula tip might have acted as a channel allowing vitreous fluid into the suprachoroidal space, resulting in choroidal detachment, hemorrhage, and hypotony.
Chen
Chieh-Jen
CJ
Department of Ophthalmology, Keio University School of Medicine, Tokyo, Japan.
Satofuka
Shingo
S
Inoue
Makoto
M
Ishida
Susumu
S
Shinoda
Kei
K
Tsubota
Kazuo
K
D000368:Aged; D002404:Catheterization / Q000009:adverse effects*; D002832:Choroid Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D004322:Drainage / Q000379:methods; D019773:Epiretinal Membrane / Q000601:surgery; D004868:Equipment Failure; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D019654:Lens Implantation, Intraocular; D008866:Microsurgery / Q000295:instrumentation; D018918:Phacoemulsification; D012086:Reoperation; D014463:Ultrasonography; D014792:Visual Acuity; D014821:Vitrectomy / Q000295:instrumentation*