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Case Reports in Ophthalmological Medicine
Volume 2014, Article ID 294921, 3 pages
http://dx.doi.org/10.1155/2014/294921
Case Report

Two Cases of Suprachoroidal Hemorrhage after Implantation of an Ex-Press Miniature Glaucoma Device and an Intraocular Lens

1Glaucoma-Cataract Consultants Inc., 1145 Bower Hill Road, Pittsburgh, PA 15243, USA
2Case Western Reserve University, Cleveland, OH 44106, USA

Received 22 April 2014; Revised 30 October 2014; Accepted 2 November 2014; Published 18 November 2014

Academic Editor: Antonio Ferreras

Copyright © 2014 Evan B. Dreyer and Rebecca E. Dreyer. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Suprachoroidal hemorrhage is a rare complication of ophthalmic surgery in general and of glaucoma filtration procedures in particular. We present herein two cases of suprachoroidal hemorrhage in aphakic patients after simultaneous implantation of an Ex-Press miniature glaucoma device and an intraocular lens. Although a rare complication, we have now seen two cases develop in previously aphakic patients when we have attempted to place an Ex-Press miniature glaucoma device in conjunction with placement of a secondary intraocular lens. These two cases suggest that greater caution is warranted when attempting to surgically implant an express mini shut in the aphakic patient.