Acute intraoperative suprachoroidal haemorrhage in ocular surgery

Abstract

The results indicate that longer axial length and higher pre-operative intraocular pressure are associated with increased risk of AISH. Poor visual results are more likely following spontaneous nuclear expression, retinal detachment, four-quadrant suprachoroidal haemorrhage or vision of perception of light or worse at the first dressing. The results also suggest that AISH complicating a phacoemulsification procedure has a more favourable visual prognosis than AISH that occurs during extracapsular cataract surgery.

Anterior chamber paracentesis in patients with acute elevation of intraocular pressure

“…We can speculate that the risk of massive choroidal haemorrhage does exist after ACP, due to a sudden decompression [24,25]. That is why we aimed to perform a very small incision with continual control of aqueous humour drainage while gently rotating the blade into the cornea by approximately 10-20 degrees.…”

The effects of aspirin and warfarin therapy on haemorrhage in vitreoretinal surgery

“…Excluding the anticoagulated group did not reduce the rate of choroidal haemorrhage. Factors thought to confer increased risk of choroidal haemorrhage during any type of intraocular surgery include raised preoperative intraocular pressure and longer axial length (Beatty et al 1998). Studies of pars plana vitrectomies alone suggest that myopia, aphakia, pseudophakia, rhegmatogenous retinal detachment, buckling and longer duration of surgery predispose to choroidal haemorrhage (Tabendeh et al 1999).…”

Sutured intraocular lens placement in aphakic post-vitrectomy eyes via small-incision surgery

“…3 Large-incision surgery that decompresses the eye, such as penetrating keratoplasty, extracapsular cataract surgery, or secondary IOL implantation through a 6.0 to 7.0 mm incision, has associated risks for choroidal effusion and suprachoroidal hemorrhage. 4,5 Hence, in the subset population of aphakic post-vitrectomy eyes, it is desirable to minimize incision size and simultaneously decrease astigmatism and reduce the chances of IOL tilt and decentration.…”