Documentation of Suprachoroidal Hemorrhage During B-Scan Ultrasonography

To the Editor. —Delayed nonexpulsive suprachoroidal hemorrhage is an uncommon complication of ocular surgery. The histopathologic features of this condition have been described. 1 We report the occurrence of a nonexpulsive suprachoroidal hemorrhage during contact B-scan ultrasonography. Documentation was made with sequential photographs. To our knowledge, the association of this procedure with a suprachoroidal hemorrhage has not been reported. Report of a Case. —A 32-year-old white man with uncontrolled secondary glaucoma underwent a combined trabeculectomy, optical iridectomy, secondary cataract removal, and anterior vitrectomy. Preoperative aphakic spectacle correction was +8.00 diopters OU. Axial length measurements were not available. Marked hypotony was present from the first postoperative day. When the posterior pole became difficult to visualize, B-scan ultrasonography was performed to rule out kissing choroidal detachments. The examination was performed through closed eyelids in an atraumatic fashion. Initially, kissing choroidal detachments were seen in the superior aspect of the globe (Fig 1).