Heavy silicone oil (densiron) and supine position in the management of massive suprachoroidal hemorrhage: use of heavy silicone for suprachoroidal hemorrhage.
OBJECTIVE
To describe a case of massive suprachoroidal hemorrhage after a phacoemulsification managed with pars plana vitrectomy, heavy silicone oil (Densiron), and supine position.


METHODS
Report of a 69-year-old woman with systemic hypertension and under antiplatelet treatment who developed a massive suprachoroidal hemorrhage.


RESULTS
The patient underwent a pars plana vitrectomy and heavy oil endotamponade combined with 3 radial sclerotomies to drain the suprachoroidal blood. Two months after this surgery, the retina remains attached and visual acuity is 3/60 with aphakia and half of the vitreous cavity filled with Densiron.


CONCLUSIONS
Pars plana vitrectomy and Densiron endotamponade with supine position can represent a good surgical option in such a dramatic case as a suprachoroidal hemorrhage. Long-term heavy silicone oil endotamponade cannot be advised in these cases.
From the *Department of Ophthalmology, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain; †Department of Ophthalmology, Institut Universitari Barraquer, Barcelona, Spain; ‡Department of Ophthalmology, Istituto Clinico Humanitas, Rozzano, Milan, Italy; and §Department of Ophthalmology, Eye Institute, Li Ka Shing Faculty of Medicine, University of Hong Kong, Hong Kong, China.
Xavier
X
Valldeperas
Javier
J
Elizalde
Mario
M
Romano
David
D
Wong