Kissing Choroidals

72 year old woman developed suprachoroidal hemorrhage during Yamane scleral intraocular lens fixation. At clinic follow up they were found to be appositional. Suprachoroidal tissue plasminogen activator was injected in clinic and an emergent choroidal cutdown drainage was performed the following day with subsequent resolution of apposition. Appositional choroidals were managed urgently to avoid retinal adhesion/membrane formation.