AI Article Synopsis
- The study evaluated the incidence and patient risk factors related to suprachoroidal hemorrhage (SCH) following glaucoma filtering surgery, utilizing data from 1553 eyes over 15 years.
- Two cases of SCH were documented, with one occurring during surgery and the other postoperatively; both patients had identified systemic and ocular risk factors.
- Visual outcomes varied: the intraoperative case improved over time without intervention, while the postoperative case had a poor visual outcome despite treatment attempts.
Article Abstract
Aims: To evaluate the incidence, patient risk factors, diagnosis and management of suprachoroidal hemorrhage (SCH) after glaucoma filtering surgery.
Methods: Retrospective case series study comprised 1553 eyes having glaucoma filtering surgery during the last 15 years (between January 1993 and December 2007) at our department. Observations included incidence, patient risk factors, peri and postoperative diagnosis, management, and outcomes of SCH after this procedure.
Results: Two cases of SCH were revealed. In one eye SCH developed at the end of surgery, in the other eye in the postoperative period. Both patients had systemic and ocular risk factors (hypertension, high preoperative intraocular pressure, myopia, pseudoexfoliation, aphakia or pseudophakia). Visual functions improved in the case of intraoperative SCH over 2 months withouth surgical intervention, in the eye with delayed postoperative SCH visual outcome was poor despite multiple lavages of anterior chamber and vitreous cavity.
Conclusion: Suprachoroidal hemorrhage, both expulsive and delayed, is a rare, but severely debilitating complication of glaucoma surgery.
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| http://dx.doi.org/10.5507/bp.2009.038 | DOI Listing |
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