Clinical Image
Austin J Clin Ophthalmol. 2024; 11(3): 1183.
Spontaneous Expulsion of the Globe in an Elderly Patient: A Rare Case Report
Meryem Sefrioui*; Hamza Lazaar; Hamidi Salma; Saad Benchekroun; Abdellah Amazouzi; Lalla Ouafa Cherkaoui
Department of Ophtalmology A, Hôpital des Spécialités Rabat, University Mohamed V, Morocco
*Corresponding author: Meryem Sefrioui Department of Ophtalmology A, Hôpital des Spécialités Rabat, University Mohamed V, Morocco. Tel: +212663058316 Email: meryemsefri@gmail.com
Received: February 23, 2024 Accepted: March 27, 2024 Published: April 03, 2024
Clinical Image
We present an unusual case of spontaneous expulsion of the globe in an 83-year-old female
who sought emergency care with an acute onset of painful bleeding and no light perception in her right eye. The patient had no recent trauma, injury, or surgical procedures involving the eye. Notably, she had no history of anticoagulation medication use.
Upon physical examination, the patient displayed subtle active bleeding distinctively accompanied by the expulsion of ocular structures. Ophthalmic ultrasound revealed a choroidal hemorrhage with retinal detachment and vitreous hemorrhage. The patient underwent an evisceration procedure.
Expulsive suprachoroidal hemorrhage involves the rapid accumulation of blood between the choroid and sclera, leading to an increased intraocular pressure and subsequent globe rupture. It predominantly impacts elderly individuals with pre-existing ocular conditions. This case report underscores the importance of considering expulsive suprachoroidal hemorrhage before the onset of globe prolapse even in the absence of apparent risk factors.
Author Statements
Declaration of Interests
The authors declare that they are no conflicts of interest in relation to this article.
Download PDF