Active Aspiration of Suprachoroidal Hemorrhage Using a Guarded Needle

作者：Mandelcorn Efrem D^*; Kitchens John W; Fijalkowski Natalia; Moshfeghi Darius M

来源：Ophthalmic Surgery, Lasers and Imaging, 2014, 45(2): 150-152.

DOI：10.3928/23258160-20140306-09

BACKGROUND AND OBJECTIVE: To describe a novel technique using a guarded needle to drain suprachoroidal hemorrhage.
PATIENTS AND 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.
CONCLUSION: 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.

• 出版日期2014-4