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Inicio Archivos de la Sociedad Española de Oftalmología (English Edition) Spontaneous expulsive choroidal hemorrhage. Case report
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Vol. 90. Issue 9.
Pages 445-447 (September 2015)
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Vol. 90. Issue 9.
Pages 445-447 (September 2015)
Short communication
Spontaneous expulsive choroidal hemorrhage. Case report
Hemorragia coroidea expulsiva espontánea. Caso clínico
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396
J. Garrido-Martín
Corresponding author
javigarri50@hotmail.co

Corresponding author.
, J.C. León-Aparicio, E.M. Fontán-Rivas, L. Gómez-López
Servicio de Oftalmología, Hospital Comarcal Valle de los Pedroches, Pozoblanco, Córdoba, Spain
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Abstract
Clinical case

A case is presented of an 85-year-old woman living in a geriatric residence, who was admitted to the emergency department of our hospital with a spontaneous expulsive choroidal hemorrhage in her left eye. There was no a history of ophthalmic disease, and the patient only reported having intracapsular cataract surgery in both eyes 25 years ago, and that she also became blind in her left eye in the past few years.

Discussion

Non-surgical spontaneous expulsive choroidal hemorrhage is a very rare and disastrous clinical event. The predisposing factors involved are: advancing age, vascular illness (especially atherosclerosis), glaucoma, and severe corneal damage.

Keywords:
Spontaneous expulsive choroidal hemorrhage
Nonsurgical
Corneal damage
Glaucoma
Resumen
Caso clínico

Se presenta el caso de una paciente de 85 años de edad, procedente de uncentro geriátrico, que acudió a urgencias con un cuadro de hemorragia ocular masiva apa-rentemente de forma espontánea en ojo izquierdo (OI). No había constancia de antecedentes oftalmológicos en su historial clínico. La paciente refería haber sido operada de catarata enambos ojos hacía más de 25 años y llevar varios años sin visión por el OI.

Discusión

La hemorragia coroidea expulsiva espontánea (HCEE) no quirúrgica es una enti-dad clínica devastadora muy rara. Los factores predisponentes implicados en su desarrollo incluyen: edad avanzada, enfermedades vasculares (arterioesclerosis sobre todo), glaucoma y dañno corneal severo.

Palabras clave:
Hemorragia coroidea expulsiva espontánea
No-quirúrgica
Daño corneal
Glaucoma

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