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Suprachoroidal hemorrhage following sutureless scleral-fixated intraocular lens – A case series

1 Vitreoretina Services, Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Puducherry, India
2 Vitreoretina Services, Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Puducherry; Department of Ophthalmology, AIIMS, Mangalagiri, Andhra Pradesh, India
3 Vitreoretina Services, Aravind Eye Hospital, Chennai, Tamil Nadu, India

Correspondence Address:
Manavi D Sindal,
Vitreoretina Services, Aravind Eye Hospital, Thavalakuppam, Cuddalore Main Road, Puducherry - 605 007
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/SJOPT.SJOPT_23_20

Suprachoroidal hemorrhage (SH) is a rare complication of scleral-fixated intraocular lens (SFIOL). In this series, we report three cases of sutureless SFIOL who developed SH postoperatively. Details of surgery, treatment, and outcome were analyzed. Two cases had limited SH which resolved with conservative treatment and had optimum visual recovery. One case developed massive SH needing surgical drainage, with final best-corrected visual acuity of 6/18 due to a persistent retinal fold. SH can be a potential complication while creating scleral grooves for haptic fixation. The use of a bent needle instead of a straight microvitreoretinal knife while creating scleral grooves might reduce the risk of SH in sutureless SFIOL surgeries.

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