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Raised then decreased intraocular pressure (IOP): a case of delayed suprachoroidal hemorrhage after an intumescent cataract surgery

Poster Details

First Author: I. Messafi MOROCCO

Co Author(s):    L. Elayyadi   M. Salhi   S. Chariba   A. Maadane   R. Sekhsoukh        

Abstract Details


Suprachoroidal hemorrhage (SCH) is a rare and yet dangerous complication of intraocular surgery. It is the accumulation of blood in the space between the choroid and sclera. The presentation of this complication is variable , ranging from self limiting hemorrhages to expulsive ones. The risk is less common with the modern techniques of surgery (phacoemulsification). Numerous factors increase this risk , such as intraocular pressure (IOP) elevation , age and hypertension. It is important to early diagnose and manage this complication.


Ophthalmology department ,Mohammed VI University Hospital, Oujda , Morocco


We report here a case of delayed SCH following a surgery of intumescent cataract.


A 80-years- old women, with history of blood hypertension treated by bitherapy, admitted for left eye pain, redness and decreased vision evolving one week before. Examination: visual acuity limited to hand movement, corneal oedema, reduced anterior chamber, mydriasis and intumescent cataract. IOP at 27mmHg. She received Mannitol perfusion, acetazolamide , potassium, beta-blocker and brimonidine drops, then undergone cataract surgery. First day: IOP at 13mmhg, corneal abrasion with some blood clots in anterior chamber. Second day: reccurence of pain,IOP droped to 9 mmHg. Echography: suprachoroidal haemorrhage. Patient received a perfusion of methylprednisolone followed by oral steroids with good evolution.


SCH is a vision-threatening complication with guarded prognosis. Prompt recognition and appropriate management may limit its impact. It includes conservative and/or surgical methods. Our case illustrate a case of delayed SCH, that happened even after IOP controlling in intumescent cataract , which can be explained by the presence of other factors in our patient , such as age , hypertension and extracapsular cataract extraction.

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