Massive Spontaneous Suprachoroidal Hemorrhage in a Patient with Heavy Alcohol Consumption

Hyun Ju Park; Eun Jee Chung

doi:10.3341/jkos.2015.56.2.296

Journal List > J Korean Ophthalmol Soc > v.56(2) > 1010202

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Park and Chung: Massive Spontaneous Suprachoroidal Hemorrhage in a Patient with Heavy Alcohol Consumption

Original Article

J Korean Ophthalmol Soc 2015;56(2):296-299.

Published online: 6 September 2015

DOI: https://doi.org/10.3341/jkos.2015.56.2.296

Massive Spontaneous Suprachoroidal Hemorrhage in a Patient with Heavy Alcohol Consumption

Hyun Ju Park, MD^1,², Eun Jee Chung, MD^2,

¹Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea

²Department of Ophthalmology, National Health Insurance Service Ilsan Hospital, Goyang, Korea

Address reprint requests to Eun Jee Chung, MD, Department of Ophthalmology, National Health Insurance Service Ilsan Hospital, #100 Ilsan-ro, Ilsandong-gu, Goyang 410-719, Korea, Tel: 82-31-900-0590, Fax: 82-31-900-0049 E-mail: eunjee95@hanmail.net

Received 16 May 20144 October 2014 Accepted 7 January 2015

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

To report a case of massive spontaneous suprachoroidal hemorrhage in a middle-aged female with heavy alcohol consumption.

Case summary

A 48-year-old female with a history of heavy alcohol consumption developed a massive spontaneous supra-choroidal hemorrhage in the right eye. Fundus examination and B-scan ultrasonography of the right eye revealed a hemorrhagic choroidal detachment with kissing choroidal sign. On systemic evaluation, she was diagnosed with alcohol-induced hepatitis, diabetes, and diabetic nephropathy. We performed trans-scleral drainage of the suprachoroidal hemorrhage, trans pars plana vitrectomy and silicone oil injection in her right eye.

Conclusions

To our knowledge, this is the first case report of massive spontaneous suprachoroidal hemorrhage in a patient with heavy alcohol intake.

Keywords: Alcohol-induced hepatitis, Heavy alcohol consumption, Spontaneous suprachoroidal hemorrhage

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Figure 1.

Fundus photography of the right eye reveals total retinal detachment associated with extensive subretinal hemor-rhage and kissing choroidal sign.

Figure 2.

B-scan ultrasonography of right eye showing diffuse suprachoroidal hemorrhage (A) and kissing choroidal sign at horizontal view (B).

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