Spontaneous expulsive choroidal hemorrhage

R. L. Winslow, W. Stevenson, M. Yanoff

Research output: Contribution to journalArticle

31 Citations (Scopus)

Abstract

A case of spontaneous expulsive choroidal hemorrhage is discussed clinically and histopathologically. Literature review reveals that the ten previously reported cases show similarities to the present case in that at least 7 of the subjects and probably 9 had glaucoma and all 10 subjects had a corneal perforation. A mechanism is proposed for spontaneous expulsive choroidal hemorrhage that emphasizes glaucoma as the pivotal mechanism because it accounts for the following: bullous keratopathy that may become infected secondarily, culminating in a corneal perforation; a greater decompressive force at the time of corneal perforation with resultant anterior displacement of retina and choroid; and focal ischemia of the posterior ciliary arteries at the point where they enter the glove, weakening the arterial wall and making rupture more likely at the time of sudden decompression.

Original languageEnglish (US)
Pages (from-to)33-36
Number of pages4
JournalArchives of Ophthalmology
Volume92
Issue number1
StatePublished - 1974

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Choroid Hemorrhage
Corneal Perforation
Glaucoma
Ciliary Arteries
Choroid
Decompression
Retina
Rupture
Ischemia

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Winslow, R. L., Stevenson, W., & Yanoff, M. (1974). Spontaneous expulsive choroidal hemorrhage. Archives of Ophthalmology, 92(1), 33-36.

Spontaneous expulsive choroidal hemorrhage. / Winslow, R. L.; Stevenson, W.; Yanoff, M.

In: Archives of Ophthalmology, Vol. 92, No. 1, 1974, p. 33-36.

Research output: Contribution to journalArticle

Winslow, RL, Stevenson, W & Yanoff, M 1974, 'Spontaneous expulsive choroidal hemorrhage', Archives of Ophthalmology, vol. 92, no. 1, pp. 33-36.
Winslow RL, Stevenson W, Yanoff M. Spontaneous expulsive choroidal hemorrhage. Archives of Ophthalmology. 1974;92(1):33-36.
Winslow, R. L. ; Stevenson, W. ; Yanoff, M. / Spontaneous expulsive choroidal hemorrhage. In: Archives of Ophthalmology. 1974 ; Vol. 92, No. 1. pp. 33-36.
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