Suprachoroidal hemorrhage

Clinical features and results of secondary surgical management

M. G. Reynolds, R. Haimovici, H. W. Flynn, C. DiBernardo, S. F. Byrne, W. Feuer

Research output: Contribution to journalArticle

Abstract

Purpose: The purposes of this study are to identify clinical features in eyes with suprachoroidal hemorrhage which portend a poor visual prognosis and to determine visual outcome in these eyes after secondary surgical management of suprachoroidal hemorrhage. Methods: This was a retrospective study of 106 patients with suprachoroidal hemorrhages occurring in association with trauma (35), cataract surgery (30), glaucoma surgery (17), penetrating keratoplasty (6), corneal perforation (5), secondary lens implantation (3), pars plana vitrectomy (3), and other causes (7). Results: Five (10%) of 49 eyes with a suprachoroidal hemorrhage and an initial retinal detachment had a visual outcome of 20/200 or better compared with 21 (43%) of 49 eyes without a retinal detachment. The presence or absence of a retinal detachment could not be determined in eight patients and all eight of these patients had a poor visual outcome. Sixteen (20%) of 82 eyes with a 360° suprachoroidal hemorrhage had a visual outcome of 20/200 or better compared with 10 (47%) of 21 for those with suprachoroidal hemorrhage limited to one or two quadrants. The extent of the hemorrhage could not be determined in three eyes. Overall, 34% (14/41) of the patients with suprachoroidal hemorrhage who had a secondary surgical procedure achieved a visual outcome of 20/200 or better. Forty-three percent (6/14) who had a suprachoroidal hemorrhage during or after cataract surgery and who were treated with secondary surgical management achieved a visual outcome of 20/200 or greater. Conclusion: Clinical features associated with a poorer visual outcome included initial or indeterminate retinal detachment and 360° suprachoroidal hemorrhage. Limited suprachoroidal hemorrhage without initial retinal detachment usually has a good visual prognosis and does not usually require secondary surgical intervention. However, if the former complication is present, secondary surgical intervention should be considered.

Original languageEnglish (US)
Pages (from-to)460-465
Number of pages6
JournalOphthalmology
Volume100
Issue number4
StatePublished - 1993
Externally publishedYes

Fingerprint

Hemorrhage
Retinal Detachment
Cataract
Corneal Perforation
Penetrating Keratoplasty
Temazepam
Vitrectomy
Glaucoma
Lenses
Retrospective Studies
Wounds and Injuries

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Reynolds, M. G., Haimovici, R., Flynn, H. W., DiBernardo, C., Byrne, S. F., & Feuer, W. (1993). Suprachoroidal hemorrhage: Clinical features and results of secondary surgical management. Ophthalmology, 100(4), 460-465.

Suprachoroidal hemorrhage : Clinical features and results of secondary surgical management. / Reynolds, M. G.; Haimovici, R.; Flynn, H. W.; DiBernardo, C.; Byrne, S. F.; Feuer, W.

In: Ophthalmology, Vol. 100, No. 4, 1993, p. 460-465.

Research output: Contribution to journalArticle

Reynolds, MG, Haimovici, R, Flynn, HW, DiBernardo, C, Byrne, SF & Feuer, W 1993, 'Suprachoroidal hemorrhage: Clinical features and results of secondary surgical management', Ophthalmology, vol. 100, no. 4, pp. 460-465.
Reynolds MG, Haimovici R, Flynn HW, DiBernardo C, Byrne SF, Feuer W. Suprachoroidal hemorrhage: Clinical features and results of secondary surgical management. Ophthalmology. 1993;100(4):460-465.
Reynolds, M. G. ; Haimovici, R. ; Flynn, H. W. ; DiBernardo, C. ; Byrne, S. F. ; Feuer, W. / Suprachoroidal hemorrhage : Clinical features and results of secondary surgical management. In: Ophthalmology. 1993 ; Vol. 100, No. 4. pp. 460-465.
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