Massive suprachoroidal hemorrhage: Surgical management and outcome

Laube, Thomas; Brockmann, Claudia; Bornfeld, Norbert

doi:10.3205/oc000032

Cited by 11 publications

(9 citation statements)

References 24 publications

(72 reference statements)

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“…Animal models have suggested an interval of 1-2 weeks to allow for the haemolysis of suprachoroidal haemorrhage [15]. Previous studies have used the same time interval for a successful drainage [1]. In our study, the average time from the initial consultation to the day of surgical intervention was 11.1 days, which is comparable to other studies.…”

Section: Discussionsupporting

confidence: 82%

“…Limited SCH, with no vitreous or retinal incarceration or macular involvement, can be monitored [14]. We agree that the only definite indication to intervene surgically is the involvement of macula in the SCH, since the foveal photoreceptors can be affected by toxicity or hypoxia due to the underlying SCH [1,13]. If the macula is not involved, a conservative approach of monitoring the eye with serial ultrasonography may be sensible.…”

Section: Discussionmentioning

confidence: 99%

“…Suprachoroidal haemorrhage (SCH) is one of the most devastating and sight-threatening ocular disorders [1][2][3]. It can be caused by trauma or as a complication of surgical procedures, including cataract surgery, glaucoma filtration surgery, keratoplasty, and vitreoretinal surgery [4][5][6][7].…”

Section: Introductionmentioning

confidence: 99%

“…The literature regarding the surgical management of SCH is scarce, although it is uniformly reported as a condition with guarded functional outcomes [1,3,7]. Surgical management options of SCH range from external drainage alone to combined drainage and pars plana vitrectomy (PPV).…”

Section: Introductionmentioning

confidence: 99%

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Outcomes of suprachoroidal haemorrhage drainage with and without vitrectomy: a 10-year study

Qureshi

Jalil

Sousa

et al. 2020

Eye

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Purpose The management of suprachoroidal haemorrhage (SCH) remains a challenge. We aimed to analyse and discuss the safety and efficacy outcomes of SCH drainage surgery over a 10-year period in one of the largest tertiary centres in the UK. Methods: Retrospective observational study of consecutive patients who underwent SCH drainage in Manchester Royal Eye Hospital over a 10-year period (from 2008 to 2018). Safety and efficacy were assessed by analysing surgery-related complications and functional and anatomical success. Outcomes of those who underwent external drainage alone versus combined drainage and vitrectomy were compared. Results: Twenty consecutive patients with a mean age of 70 ± 19 years were studied. Age over 70 years, hypertension, cardiovascular disease, and glaucoma were the most common risk factors for SCH. Eleven patients underwent external drainage alone and nine patients had combined vitrectomy and drainage. Overall, mean pre-operative BCVA improved from 2.22 ± 0.26 logMAR (20/3319 Snellen) to 1.42 ± 1.02 LogMAR (20/526 Snellen) at last follow-up visit (p = 0.002). Severe hypotony occurred in 4 patients. Overall anatomical and functional success rates were both 75%. Conclusions Drainage of SCH with or without vitrectomy is a valuable approach in the management of extensive SCH, a condition generally associated with poor prognosis.

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Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Outcomes of suprachoroidal haemorrhage drainage with and without vitrectomy: a 10-year study

Qureshi

Jalil

Sousa

et al. 2020

Eye

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“…Surgical drainage by performing radial sclerotomies in the areas of choroidal hemorrhage with or without simultaneous pars plana vitrectomy with silicone oil filling of the eyeball may be indicated in individual cases (severely elevated IOP, severe pain, kissing choroids, single eye). However, this potential surgical intervention is reserved for individual cases because the postoperative functional results are often sobering [30].…”

Section: Retinal Surgery For Choroidal Detachment and Choroidal Hemor...mentioning

confidence: 99%

Netzhaut-Glaskörper-Chirurgie bei Glaukom

Unterlauft

Schawkat

Zinkernagel

2022

Klin Monbl Augenheilkd

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(deutsch): Die Glaukome gehen mit einem Untergang von retinalen Ganglienzellen und deren Axonen einher, welche sich vornehmlich in der Netzhaut befinden. Die Vitreoretinale- und die Glaukomchirurgie überschneiden sich bei bestimmten Krankheitsbildern in einem nicht geringen Ausmaß. Ziel des vorliegenden Übersichtsartikels ist es diese Krankheitsbilder darzustellen und Behandlungsstrategien und die jeweiligen Wirkungsweisen gesammelt aufzuzeigen. Im Rahmen des vorliegenden Artikels werden die Themen malignes Glaukom / aqueous misdirection syndrome, Netzhautchirurgie bei Aderhautamotio und expulsiver Aderhautblutung, postoperative Blebitis und Endophthalmitis nach Glaukomoperation und Vitrektomie nach Glaukomoperationen zusammen beschrieben und die bestehenden Therapiepfade beim Management von auftretenden Komplikationen aufgezeigt. Insgesamt sind die Bereiche Glaukom- und Netzhaut-Glaskörperchirurgie eng miteinander verbunden. Kollegen beider Subspezialitäten sollten Kenntnisse über diese sie beide betreffenden Krankheitsbilder haben. Abstract (englisch): Glaucoma is associated with the demise of retinal ganglion cells and their axons, which are primarily located in the retina. Vitreiretinal and glaucoma surgery overlap to a not inconsiderable extent in certain diseases. The aim of this overview article is to present these diseases and to highlight treatment strategies and the respective modes of action in a collective manner. Within the scope of this article, the topics of malignant glaucoma / aqueous misdirection syndrome, retinal surgery for choroidal detachment and expulsive choroidal hemorrhage, postoperative blebitis and endophthalmitis after glaucoma surgery and vitrectomy after glaucoma surgery are described together and the existing therapeutic paths for the management of complications are shown. The areas of glaucoma and vitreoretinal surgery are tightly linked. Colleagues from both subspecialties should be familiar with a certain overview of diseases concerning both subject areas.

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