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Incidence and risk factors of perioperative suprachoroidal hemorrhage: A systematic review and meta-analysis.
Surv Ophthalmol
November 2024
Scheie Eye Institute, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States.
Article Synopsis
- Suprachoroidal hemorrhage (SCH) is a serious complication of eye surgery, with a meta-analysis showing an overall incidence of 0.12% (or about 1 in 800 surgeries) among a large population of over 3 million surgeries from 1990 to 2023.
- Factors like smaller study size and the type of surgery (cataract vs. vitreoretinal) significantly influenced the reported incidence rates of SCH, while the study year did not show a decrease in incidence over 30 years despite advances in surgical techniques.
- The authors recommend that future studies on SCH should include at least 1,000 surgeries in their population to yield more accurate incidence figures.
Spontaneous Expulsive Suprachoroidal Hemorrhage in a Middle-Aged Patient With Hypertension, Type II Diabetes, and Associated Retinopathy.
Cureus
April 2024
Department of Ophthalmology, The Jikei University School of Medicine, Tokyo, JPN.
We report the clinical course of spontaneous expulsive suprachoroidal hemorrhage (SESCH) in a middle-aged man. A 50-year-old man with a history of uncontrolled hypertension and type II diabetes presented with massive preretinal hemorrhage in the posterior pole of the right eye (RE). Two weeks later, he presented with elevated intraocular pressure (IOP) and a nearly obliterated anterior chamber with coagulated blood behind the lens in the RE.
View Article and Find Full Text PDFGlobe Rupture Secondary to a Spontaneous Suprachoroidal Hemorrhage in a Blind Glaucomatous Eye: A Case Report.
J Curr Ophthalmol
December 2023
Departsment of Ophthalmology, McMaster University, Hamilton, Ontario, Canada.
Purpose: To report a rare case of globe rupture following a spontaneous expulsive suprachoroidal hemorrhage without a predisposing event.
Methods: Case report.
Results: A 40-year-old man presented with a 3-week history of episodic eye pain, likely associated with uncontrolled glaucoma, and a spontaneous clot exuding from his right eye without a predisposing event.
Suprachoroidal Hemorrhage.
Ophthalmologica
December 2023
Department of Ophthalmology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Suprachoroidal hemorrhage (SCH) refers to the accumulation of blood in the suprachoroidal space, a relatively uncommon but significant complication that can occur spontaneously, during ophthalmic surgery, or as a consequence of ocular trauma. If left undiagnosed and untreated, SCH can lead to severe vision loss or even blindness. Therefore, it is crucial for ophthalmologists to have a thorough understanding of this complication, taking proactive measures to prevent it during surgery and being knowledgeable about effective management strategies for patients with SCH.
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