Presumed sclerotomy site bleeding inflowing into the anterior chamber after the removal of a 23-gauge microcannula in 23-gauge sutureless vitrectomy.
We experienced two cases of the influx of the sclerotomy site bleeding into the anterior chamber during 23-gauge sutureless vitrectomy for pseudophakic rhegmatogenous retinal detachment. Soon after the removal of a 23-gauge microcannula at the end of the surgery, presumed sclerotomy site hemorrhage was rapidly fluxed into the anterior chamber. The anterior chamber bleeding might come from the sclerotomies rather than from episcleral vessels. The posterior pressure in the gas-filled pseudophakic eye might have pushed the sclerotomy site bleeding into the anterior chamber. We could not find any vitreous hemorrhages. The hemorrhage within the anterior chamber spontaneously absorbed within 14 days.
Department of Ophthalmology, Gachon University Gil Hospital, Incheon, South Korea.
Dong Heun
DH
Nam
Sang Chul
SC
Yoon
Dae Yeong
DY
Lee
Hee Jin
HJ
Sohn
D000867:Anterior Chamber; D057785:Catheters; D005130:Eye Hemorrhage / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012163:Retinal Detachment / Q000601:surgery; D012599:Sclerostomy / Q000009:adverse effects* / Q000295:instrumentation; D014821:Vitrectomy / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods