{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T16:04:16Z","timestamp":1790697856448,"version":"4.1.0"},"reference-count":10,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2021,3,2]],"date-time":"2021-03-02T00:00:00Z","timestamp":1614643200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of VitreoRetinal Diseases"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>This work describes a stepwise surgical approach to draining choroidal detachments and 2 cases for which this approach was used.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The first step involves insertion of an anterior chamber maintainer and a nonvalved 23- or 25-gauge trocar cannula at the highest peak of hemorrhagic choroidal detachment (as determined using B-scan ultrasonography), 6 to 8 mm from and angled 20\u00b0 to 30\u00b0 toward the limbus. The second step involves removal of the trocar to expose the sclerotomy. Alternatively, the second step can be insertion of a second trocar. The third step involves the creation of a small focal peritomy around the preexisting sclerotomy and enlargement of the preexisting sclerotomy into a radial sclerotomy. Progression between steps only occurs if prior steps did not provide adequate drainage.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Two cases of appositional hemorrhagic choroidal detachments in hypotonic eyes were successfully resolved by this stepwise approach. In case 1, a choroidal detachment developed after a corneal ulcer perforation. The hemorrhagic choroidal detachment in case 1 was resolved with steps 1 and 2, and an unnecessary scleral cutdown was avoided. In case 2, a choroidal detachment developed after a trabeculectomy. The detachment in case 2 required progression to step 3, extension of the trocar insertion site into a radial sclerotomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>This stepwise approach should be considered to reduce excessive manipulation of the globe and conjunctiva in hemorrhagic and serous choroidal detachments that warrant surgical intervention.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/2474126421992024","type":"journal-article","created":{"date-parts":[[2021,3,2]],"date-time":"2021-03-02T04:58:30Z","timestamp":1614661110000},"page":"111-115","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["A Stepwise Approach to the Surgical Management of Hemorrhagic Choroidal Detachments"],"prefix":"10.1177","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6459-443X","authenticated-orcid":false,"given":"Shanna C.","family":"Yeung","sequence":"first","affiliation":[{"name":"Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan H.","family":"Mason","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology and Vision Sciences, Toronto Western Hospital, Toronto, ON, Canada"},{"name":"Kensington Vision and Research Center, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel A.","family":"Minaker","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology and Vision Sciences, Toronto Western Hospital, Toronto, ON, Canada"},{"name":"Kensington Vision and Research Center, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alaa","family":"AlAli","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology and Vision Sciences, Toronto Western Hospital, Toronto, ON, Canada"},{"name":"Kensington Vision and Research Center, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter J.","family":"Kertes","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology and Vision Sciences, Toronto Western Hospital, Toronto, ON, Canada"},{"name":"Kensington Vision and Research Center, Toronto, ON, Canada"},{"name":"Department of Ophthalmology and Vision Sciences, Sunnybrook Health Sciences Centre, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peng","family":"Yan","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology and Vision Sciences, Toronto Western Hospital, Toronto, ON, Canada"},{"name":"Kensington Vision and Research Center, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,3,2]]},"reference":[{"key":"bibr1-2474126421992024","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(81)34897-0"},{"key":"bibr2-2474126421992024","doi-asserted-by":"publisher","DOI":"10.1097\/IAE.0b013e31821c4087"},{"key":"bibr3-2474126421992024","doi-asserted-by":"publisher","DOI":"10.1097\/01.ijg.0000146370.28625.fc"},{"key":"bibr4-2474126421992024","doi-asserted-by":"publisher","DOI":"10.1001\/archophthalmol.2011.165"},{"key":"bibr5-2474126421992024","doi-asserted-by":"publisher","DOI":"10.1097\/IJG.0b013e31825afb25"},{"key":"bibr6-2474126421992024","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.1991.01080110111047"},{"key":"bibr7-2474126421992024","doi-asserted-by":"publisher","DOI":"10.2147\/OPTH.S16134"},{"issue":"1","key":"bibr8-2474126421992024","first-page":"170","volume":"11","author":"Fei P","year":"2018","journal-title":"Int J Ophthalmol"},{"key":"bibr9-2474126421992024","doi-asserted-by":"publisher","DOI":"10.1159\/000342136"},{"key":"bibr10-2474126421992024","doi-asserted-by":"publisher","DOI":"10.1159\/000027295"}],"container-title":["Journal of VitreoRetinal 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