Newborn vitreous hemorrhage

vitreous hemorrhage in a newborn is a challange: Why hemorrhage: ROP? Malformation? Trauma during delivery? Iatrogenic damage to the lens and peripheral retina is at risk. Here the indication was: no pupullary red reflex, while the other eye was normal and the risk was amblyopia. The removal of the vitreous with trocar access went normal. However the infusion line slipped from the clip. The tip of the trocar leaned against the lens equator. Fortunately the caspule remained intact and the line could be secured. A sub-ILM hemorrhage was sliced and clotted blood could be aspirated from surface of the macula. The lens stayed clear. The procedure could be completed as planned.