Spontaneous Expulsive Suprachoroidal Hemorrhage

Ophir, Avinoam; Pikkel, Joseph; Groisman, Gabriel M.

doi:10.1097/00003226-200111000-00025

Cited by 22 publications

(20 citation statements)

References 12 publications

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“…Moreover, a dramatic drop in IOP increase the risk of developing SSCH in patients with RRD associated with choroidal detachment myopia. Usually, massive SCH leads to a sharp increase in IOP due to the increase in ocular contents [1,3,5,12,18]. In the present study, choroidal detachment was caused by retinal detachment in patients with high myopia, and SCH was caused by low IOP and fragile vascular elasticity, so that there was no increase in IOP in this patient.…”

Section: Discussionmentioning

confidence: 45%

Spontaneous suprachoroidal hemorrhage in a high myopia patient with rhegmatogenous retinal detachment: a case report and literature review

Chai

Zeng

et al. 2019

Bioscience Reports

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Purpose: To report a rare case of spontaneous suprachoroidal hemorrhage (SSCH) in a high myopia patient with rhegmatogenous retinal detachment (RRD) and successful treatment. Methods: We present a case of SSCH that occurred in a 73 woman with high myopia with RRD and discuss the results of a systemic review of the literature published from 1999 to 2017. Results: Phacoemulsification without intraocular lens implantation and vitrectomy combined with silicone oil injection was performed and retinal detachment and choroidal detachment were reattached after oil removed. In the literature review, we found that among a total of 36 patients (37 eyes), acute secondary glaucoma was a complication in 70.3% (26 eyes) of the cases, and over half of the cases (24 eyes, 64.9%) were treated with surgery. Eighteen cases (50%) were characterized by systemic hypertension and 21 cases (58.3%) had abnormal hemostasis. Age-related macular degeneration (ARMD) was the most common (12 eyes, 32.4%) ocular disease and was followed by glaucoma (7 cases, 18.9%). Visual acuity was classified as hand motion (HM) or worse in 25 eyes (out of 34 eyes, 73.5%) at initial presentation and in 25 eyes (out of 36 eyes, 69.4%) upon final examination. Nine cases experienced significant visual improvement, including six that underwent vitrectomy. Conclusion: Advanced age, systemic anticoagulation, and hypertension are strong risk factors. RRD associated with massive SSCH is an extremely rare event. Vitrectomy and choroidal blood drainage can effectively remove suprachoroidal hemorrhage (SCH) and promote retinal reattachment in these eyes. However, the final visual prognosis usually remains poor.

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Section: Discussionmentioning

confidence: 45%

Spontaneous suprachoroidal hemorrhage in a high myopia patient with rhegmatogenous retinal detachment: a case report and literature review

Chai

Zeng

et al. 2019

Bioscience Reports

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“…Advanced age over 60 years is a well-known predisposing factor for suprachoroidal hemorrhage. 3 4 5 Not surprisingly, most (14/16 cases) of the patients with AMD were older than this. In the case of patients aged over 60 years (24 eyes of 23 cases), the most common risk factor has been shown to be abnormal coagulopathy (19/23, 82.6%), including use of anticoagulants (16/23, 69.6%) due to cardiovascular or cerebrovascular diseases (15/23, 65.2%), followed by hypertension (14/23, 60.9%).…”

Section: Discussionmentioning

confidence: 87%

“…1 2 In extremely rare circumstances, spontaneous suprachoroidal hemorrhage (SSCH) occurs and presents with sudden-onset sight loss and acute angle-closure glaucoma. The associated systemic factors include old age, 3 4 5 anticoagulant or thrombolytic therapy, 6 7 8 9 10 systemic hypertension (HTN), 11 12 13 14 atherosclerosis, 3 15 diabetes mellitus (DM), 10 blood dyscrasia, 5 16 17 chronic renal disease, 9 15 18 and the Valsalva maneuver. 19 The associated ocular factors are age-related macular degeneration (AMD), 6 20 21 glaucoma, 20 22 and high myopia.…”

Section: Introductionmentioning

confidence: 99%

Spontaneous suprachoroidal hemorrhage: Case report and review of the literature

Hsiao

Shih

Huang

2016

Taiwan Journal of Ophthalmology

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We present the clinical course, management, and final outcome of spontaneous suprachoroidal hemorrhage (SSCH) in an age-related macular degeneration (AMD) patient—a 64-year-old male receiving antiplatelet therapy who developed SSCH during the Valsalva maneuver. In addition to our case study, we discuss the results of a systemic review of the literature and reference lists of retrieved studies published from January 2001 to December 2013. Among a total of 31 patients (32 eyes), acute secondary glaucoma was a complication in 87.5% of the cases, and over half of the cases (20 eyes, 62.5%) received surgery. Twenty cases (64.5%) were characterized by systemic hypertension (HTN), followed by cardiovascular or cerebral vascular disease in 17 cases (54.8%). The Valsalva maneuver was performed in five cases (16.1%) prior to the episode. Twenty-three cases (74.2%) had abnormal hemostasis, including use of anticoagulants or thrombolytic agents (18 cases), chronic renal failure (CRF, 5 cases), and blood dyscrasia (3 cases). AMD was the most common (17 eyes of 16 patients, 53.1%) ocular disease. Visual acuity was classified as hand motion (HM) or worse in 20 eyes (of 28 eyes, 71.4%) at initial presentation and in 24 eyes (of 30 eyes, 80%) upon final examination. Anticoagulated patients with AMD should be informed of the risk of intraocular hemorrhage. Medical therapy usually fails in the treatment of glaucoma. Surgical intervention provides an option for the purpose of pain relief. Even so, the final visual prognosis is usually poor.

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“…[7] Most of the reported cases of SESCH had glaucoma with corneal ulceration predisposing to the supra choroidal hemorrhage. [2–4] But, Sudhir et al . reported a 54-years-old diabetic patient with spontaneous expulsive choroidal hemorrhage who had a normal cornea, except for blood staining documented on the day before the patient developed SESCH.…”

Section: Discussionmentioning

confidence: 99%

“…have suggested that difference in elasticity of the cornea at the limbus makes it vulnerable to perforation at this site. [2] In their case report, a central corneal ulcer was complicated by an annular rupture at the limbus due to SECH. Yang et al .…”

Section: Discussionmentioning

confidence: 99%