DELAYED-ONSET EXPULSIVE CHOROIDAL HEMORRHAGE FOLLOWING TRAUMATIC GLOBE RUPTURE

The authors describe a 53-year-old woman who had a traumatic wound rup ture 6 months following penetrating keratoplasty. While she was in the preoperative holding area awaiting surgical repair, hemorrhagic choro idal detachments developed. Digital pressure was initiated on diagnosi s of imminent expulsion of intraocular contents and maintained until r epair of the wound rupture could be performed. Four months postoperati vely, the patient's vision was 20/80 and her central pachymetry was 58 5 mu m. This case demonstrates that a delayed-onset expulsive choroida l hemorrhage may be successfully managed with simple and rapid interve ntion based on knowledge of the disease process.