PMC3686244_01
(A and B) Fundus photography and fluorescein angiography images revealed vitreous hemorrhage in the right eye during preoperative examinations. (C) Intraoperative findings of the first vitrectomy. (D) Fundus photographs showed no complications, including vitreous, at the end of vitrectomy. (E and F) Four hours after surgery, fundus photography showed choroidal detachment at the posterior pole and peripheral retina.
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Fundus examination of the right eye revealed an elevated, dark brown choroidal mass located in the entire retina. (Figure 1).
Intraoperative findings of the second vitrectomy. (A) Huge choroidal detachment and (B) "kissing retina" were observed. (C) Fundus photography showed the suprachoroidal hemorrhage removal through the sclerotomy site. (D) At the end of the vitrectomy, fundus photography showed a flat posterior pole and peripheral retina.
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Fluid-air and air-silicone oil exchange were then conducted and endolaser photocoagulation around the peripheral retina was performed (Figure 2).
Fundus photography after silicone oil removal. A well-attached retina was observed.
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Two months after the vitrectomy, the silicone oil was removed (Figure 3) and the patient's visual acuity had improved to 20/40.