Intraoperative choroidal hemorrhage in the Oler-Rendu-Weber yndrome

PURPOE: To decribe a patient with Oler-Rendu-Weber yndrome who developed a nonimultaneou intraoperative choroidal hemorrhage in each eye. METHOD: Interventional cae report. A 65-year-old Caucaian woman with Oler-Rendu-Weber yndrome developed a choroidal hemorrhage in the left eye during vitrectomy for a complicated retinal detachment with a poor viual outcome. Fifteen year later, he developed a macula on retinal detachment in the right eye, which alo had a dene cataract. Immediately after uncomplicated phacoemulification and intraocular len implantation, under monitored anetheia care and retrobulbar block, and without valalva tre, ophthalmocopy demontrated a choroidal hemorrhage. A planned cleral buckle wa replaced by pneumatic retinopexy. REULT: even month potoperatively, the retina remained attached with reolution of the choroidal hemorrhage. Viual acuity wa 20/30. CONCLUION: Choroidal hemorrhage may occur more commonly in individual with Oler-Rendu-Weber yndrome. Recognition of thi poible aociation and intitution of appropriate intraoperative precaution may facilitate a good viual outcome.