Purpose: To report a delayed suprachoroidal hemorrhage following Nd:YAG laser goniopuncture (LGP) in an eye with a previous deep sclerectomy.

Methods: Case report.

Results: A 75-year-old woman with advanced primary open-angle glaucoma underwent LGP due to unsatisfactory intraocular pressure (IOP) in her left eye, 1 month after undergoing deep sclerectomy in the same eye. Delayed suprachoroidal hemorrhage occurred the day after LGP execution.

Conclusions: Nd:YAG laser goniopuncture is often performed to enhance IOP control following deep sclerectomy. Although LGP is usually effective and safe, severe complications, such as delayed suprachoroidal hemorrhage, may occur after its execution.

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http://dx.doi.org/10.5301/ejo.5000578DOI Listing

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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.
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