title: Active aspiration of suprachoroidal hemorrhage using a guarded needle.
abstract: OBJECTIVE
  To describe a novel technique using a guarded needle to drain suprachoroidal hemorrhage.
  
  
  METHODS
  A guarded needle is used to drain suprachoroidal hemorrhage under direct microscope visualization. A scleral buckling sleeve is used to create a guarded 26-gauge needle to avoid over-penetration of the needle beyond the suprachoroidal space. Active extrusion can be used to drain suprachoroidal blood.
  
  
  RESULTS
  The authors report two cases in which active aspiration using a guarded needle was successful in draining suprachoroidal hemorrhage without complications. In both cases, the vitreous cavity could be restored, allowing for subsequent pars plana vitrectomy.
  
  
  CONCLUSIONS
  The technique of active aspiration using a guarded needle optimizes surgeon control of suprachoroidal hemorrhage drainage and also has the added benefit of easy transition to secondary vitrectomy after drainage has been completed.
authors.forename: Efrem D
authors.initials: ED
authors.lastname: Mandelcorn
authors.forename: John W
authors.initials: JW
authors.lastname: Kitchens
authors.forename: Natalia
authors.initials: N
authors.lastname: Fijalkowski
authors.forename: Darius M
authors.initials: DM
authors.lastname: Moshfeghi
mesh_terms: D000368:Aged; D002832:Choroid Hemorrhage / Q000601:surgery*; D005122:Exudates and Transudates; D005260:Female; D006801:Humans; D009339:Needles; D013508:Ophthalmologic Surgical Procedures / Q000295:instrumentation*; D013396:Suction / Q000379:methods*