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Choroid Hemorrhage


Presentation

  • Each diagnosis includes clinical presentation(s) of affected patients, the best sequences for imaging analysis, expected imaging sequences (in both common and uncommon presentations), and imaging examples of key features.[books.google.com]
  • She presented with severe headache and disturbed consciousness. She had left nephrectomy for renal cell carcinoma 15 years prior to admission.[jstage.jst.go.jp]
  • METHODS: The presenting visual acuity, ocular findings, duration to surgical intervention, and outcomes of five patients were retrospectively reviewed. RESULTS: Five eyes from four patients (median age, 80 years; range, 66-85 years) were studied.[ncbi.nlm.nih.gov]
  • The presenting visual acuity, ocular findings, duration to surgical intervention, and outcomes of five patients were retrospectively reviewed. Five eyes from four patients (median age, 80 years; range, 66–85 years) were studied.[journals.lww.com]
  • Similar less significant elevations were present in the other three quadrants. An 80-year-old male with a past history of coronary artery disease,and cataracts (removed in 1986 and 1996).[eyecancer.com]
Prolonged Bleeding
  • The role of this technique is controversial because it can prolong bleeding, a blood clot may be difficult to drain through the sclerotomy, and further complications can occur.[crstodayeurope.com]
Anemia
  • […] factors Iatrogenic causes; from medical procedures that involve the eye Side effects of certain medications that include blood thinners and anticoagulants Tumors of the eye Low or high intraocular (eye fluid) pressure due to several causes Sickle cell anemia[dovemed.com]
Ecchymosis
  • He has been taking aspirin and Vitamin E for several months, but had discontinued both due to ecchymosis on both hands.[eyecancer.com]
Sneezing
  • Detachment and Hemorrhage may include: Injury to the eye, due to participation in sports or occupation-related Surgery to eye Glaucoma Certain drugs are known to induce the condition Rarely, Hemorrhagic Choroidal Detachment can occur due to coughing, sneezing[dovemed.com]
Tachycardia
  • Future Directions Classical risk factors of suprachoroidal hemorrhage include advanced age, glaucoma, myopia, aphakia, arteriosclerotic cardiovascular disease, hypertension, choroidal hemangiomas associated with Sturge-Weber syndrome, and intraoperative tachycardia[eyewiki.aao.org]
  • The intraoperative signs of massive choroidal hemorrhage may include tachycardia and excessive iris movement or prolapse. This usually is accompanied by Figure 138-2 A-scan echogram.[medtextfree.wordpress.com]
Akinesia
  • The initial intraoperative symptoms of massive choroidal hemorrhage may be paroxysmal onset of severe intraoperative pain despite akinesia and previously adequate analgesia.[medtextfree.wordpress.com]
Homonymous Hemianopsia
  • She returned to her daily life with right homonymous hemianopsia and dyscalculia. A literature review suggested that a slowly progressive type of renal cell carcinoma is likely to metastasize to the choroid plexus of the lateral ventricle.[jstage.jst.go.jp]

Workup

  • We referred the patient for a medical workup and asked her to return in six to eight weeks for close observation. The patient returned two years later with complaints of vision loss OS (20/100; OD remained 20/20).[reviewofoptometry.com]
Xanthochromia
  • Xanthochromia (blonde color) of the CSF following subarachnoid hemorrhage is due to oxyhemoglobin which appears in 4 to 6 hours and bilirubin which appears in two days.[neuropathology-web.org]
  • […] and include sudden onset of headache, nausea and vomiting, together with an alteration of the mental state and/or level of consciousness. [6] Focal neurological signs are either minimal or absent, but focal and/or generalized seizures may occur. [6] Xanthochromia[en.wikipedia.org]

Treatment

  • If treatment with aflibercept is to be given in the fellow eye, the injections are to be administered according to the Food and Drug Administration (FDA) approved label for EYLEA .[clinicaltrials.gov]
  • STATUS POST TREATMENT FOR RETINAL TEARS – RIGHT EYE 2. PREVIOUS TRAUMA – RIGHT EYE 3. CHOROIDAL RUPTURE DISCUSSION: I explained to the patient the eye is stable at this point.[retinagallery.com]
  • Effectiveness / Safety: Prophylaxis and/or proper primary intervention yield results that are far superior to even the best secondary treatment.[evrs.eu]
  • Conclusions: ETV is a valid treatment for hydrocephalus of any etiology. There exists a small difference in success rates between infection, hemorrhage, and neural tube disorders, though not enough to discount ETV for these etiologies.[discovery.dundee.ac.uk]

Prognosis

  • Prognosis of grade 1 intraventricular hemorrhage No large scale studies on prenatal grade 1 hemorrhages, but current data suggests a very good prognosis. Neonatal grade 1 hemorrhages have been studied extensively and have excellent prognosis[myminifellowship.com]
  • (Outcomes/Resolutions) The prognosis of Choroidal Detachment and Hemorrhage depends upon the severity of the underlying condition and the signs and symptoms An early diagnosis and adequate treatment can ensure better prognosis than late detections and[dovemed.com]
  • Prognosis is guarded. Glaucoma studies with delayed suprachoroidal hemorrhage show that patients had a pre-operative mean VA logMAR of 0.8 ( 20/125), with a post-event mean VA logMAR of 1.34 (Count Fingers to Light Perception range).[eyewiki.aao.org]
  • PURPOSE: To describe the course, management, and prognosis of massive spontaneous choroidal hemorrhage.[ncbi.nlm.nih.gov]
  • MICHAEL MD Article Abstract Author Information Authors To describe the course, management, and prognosis of massive spontaneous choroidal hemorrhage.[journals.lww.com]

Etiology

  • Conclusions: ETV is a valid treatment for hydrocephalus of any etiology. There exists a small difference in success rates between infection, hemorrhage, and neural tube disorders, though not enough to discount ETV for these etiologies.[discovery.dundee.ac.uk]
  • Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology.[icd10coded.com]
  • As we discussed, the prognosis most likely depends on the underlying etiology and severity of the SCH.[retinalphysician.com]
  • (Etiology) Choroidal Detachment and Hemorrhage may be caused by several factors that include: Eye trauma Abnormal inflammation in the eye caused by many factors Iatrogenic causes; from medical procedures that involve the eye Side effects of certain medications[dovemed.com]
  • There are numerous causes of intraventricular hemorrhage and as such no single demographic can be identified; rather each underlying etiology contributes its own patient population.[radiopaedia.org]

Epidemiology

  • Previous Next Section: Epidemiology Primary prevention In order to prevent the development of a choroidal rupture, avoidance of a closed globe injury is necessary.[eyewiki.aao.org]
  • EPIDEMIOLOGY AND PATHOGENESIS Choroidal hemorrhage may occur in a limited form or as a massive event.[medtextfree.wordpress.com]
  • "Traumatic Brain Injury: Definition, Epidemiology, Pathophysiology" Emedicine.com. Retrieved on June 19, 2007. Vinas FC and Pilitsis J. 2006. "Penetrating Head Trauma."[en.wikipedia.org]
  • Epidemiology Frequency International Serous choroidal detachments are recognized easily when large.[emedicine.medscape.com]
Sex distribution
Age distribution

Pathophysiology

  • Posted by on Oct 1, 2010 in suprachoroidal hemorrhage Comments Off on Expulsive Choroidal Hemorrhage: What Yes and What Never Ferenc Kuhn (Birmingham, AL, USA) Advantages: Understanding the pathophysiology of the disease helps preventing the otherwise[evrs.eu]
  • Additional information is included concerning the pathophysiology and pathology of the disorders being discussed as well as basic information concerning the causative genes (when appropriate).[books.google.com]
  • […] patent Iris: Superior surgical peripheral iridectomy; iris transillumination defects Lens: Aphakia Differential Diagnosis Suprachoroidal hemorrhage Choroidal effusions Endophthalmitis Retinal detachment Additional Investigations Suprachoroidal hemorrhage Pathophysiology[eyewiki.aao.org]
  • Pathophysiology In a normal eye, the suprachoroidal space is essentially nonexistent because of close apposition of the choroid to the sclera.[aao.org]

Prevention

  • Avoidable - 0% Emergent - ED Care Needed - Not Preventable/Avoidable - 0% Primary diagnosis of injury 0% Primary diagnosis of mental health problems 0% Primary diagnosis of substance abuse 0% Primary diagnosis of Alcohol 0% Unclassified 100% Some eye[medicbind.com]
  • Posted by on Oct 1, 2010 in suprachoroidal hemorrhage Comments Off on Expulsive Choroidal Hemorrhage: What Yes and What Never Ferenc Kuhn (Birmingham, AL, USA) Advantages: Understanding the pathophysiology of the disease helps preventing the otherwise[evrs.eu]
  • Some surgeons recommend placement of two or three posterior sclerotomies to prevent such expansion.[medtextfree.wordpress.com]
  • Early detection and treatment could prevent vision loss. See an eye care professional right away if you have a sudden change in vision, if everything looks dim, or if you see flashes of light.[icdlist.com]

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