Choroidal Haemorrhage

Eye Deceases

(H31.3) Choroidal Haemorrhage

About Choroidal Haemorrhage:

Choroidal haemorrhage is an uncommon complication after cataract surgery. Choroidal haemorrhage can occur spontaneously or traumatically which is associated with intraocular vascular anomalies. Choroidal hemorrhage is a severe visual problem which results with permanent vision loss. There are basically two types of Choroidal haemorrhages namely limited and massive and both can develop complications of most forms of ocular surgery.  Getting affected with the surgical wound, intraoperative choroidal hemorrhage may develop to eviction of intraocular tissues and therefore this disease can turn severe at the later stages. Choroidal hemorrhage is related with complete vision loss in most cases because of modern vitreoretinal techniques.

ICD-10 R58.
MeSH D006470

Symptoms of Choroidal Haemorrhage:

Some important symptoms are:

The advance movement of the iris, lens, and vitreous body which is developed for elevated intraocular pressure. The sufferers usually experience the darkening of the red reflex. Excessive bleeding of conjunctiva and episcleral tissues is also one of the foremost symptoms of this disease. The patients get much pain.

Treatment of Choroidal Haemorrhage:

Generally, the management of serious choroidal detachment is considered as the conservative treatment of choroidal haemorrhage. However, doctors believe that postoperative serous choroidal detachments usually resolve on their own within days and therefore this kind of treatment is considered very common so far. Most importantly, doctors around the world believe that tardy nonexpulsive narrow choroidal hemorrhage bears a good diagnosis as a whole.

The concerned treatment of this disease considers the use of cycloplegics and topical corticosteroids. However, it is somewhat controversial to use the management of delayed, nonexpulsive for massive choroidal hemorrhage. Doctors advise surgical drainage in the following issues and complications

  1. Immense choroidal hemorrhage which is linked with severe pain
  2. Lofty intraocular pressure and steadily even anterior chamber
  3. Suprachoroidal hemorrhage under the macula which is the most important point to remember for the surgical treatment.
  4. Expansion of hemorrhage into the subretinal space

Causes of Choroidal Haemorrhage:

The main cause of this disease is ocular surgery. Particularly, the patients of cataract usually face this disease after the operation of his/her eyes. However, it is considered as the uncommon complication after cataract surgery. If the doctor use local anesthesia during the operation then the disease is likely to occur after the operation of cataract.

Choroidal Haemorrhage Types:

Mainly three types of choroidal hemorrhage are found but some other uncertain types of hemorrhages can be occurred after ocular surgery. Limited and massive choroidal hemorrhage and intraoperative choroidal hemorrhage are mostly known.