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Management of delayed suprachoriodal haemorrhage after intraocular surgery and trauma

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Abstract

Backgroud

To indentify surgical risk factors for delayed suprachoroidal haemorrhage (DSCH) and to report the outcomes of an effective intervention in a consecutive of patients.

Methods

The clinical data of ten patients diagnosed with DSCH in our hospital between July 2007 and December 2012 were extracted from hospital records and analyzed, including ophthalmologic examination, ophthalmologic ultrasonography, surgical procedures, and outcome measures including visual acuity and intraocular pressure.

Results

Ten eyes of ten patients including six men and four women with mean age of 56.6 ± 17.67 years, with DSCH, were enrolled. After diagnosis, drainage or/and pars plana vitrectomy were performed for eight patients; another two received conservative treatment. All the patients were followed up for 15.2 ± 4.3 months. Intraocular pressure decreased significantly (p < 0.001); the mean final visual acuity improved significantly after intervention (p < 0.001).

Conclusions

We emphasized other great risk factors such as intraoperative mitomycin-C use, systemic anticoagulation or thrombolysis, and chronic kidney disease. It seems that earlier surgical intervention after the diagnosis of DSCH will be beneficial to patients by improving their final visual acuity.

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Authors and Affiliations

  1. Eye Center, Renmin Hospital of Wuhan University, Jiefang Road 238#, Wuhan, Hubei Province, 430060, People’s Republic of China

    Wei Jin, Yiqiao Xing, Wenjun Wang & Anhuai Yang

  2. Department of Urology, Wuhan General Hospital of Guangzhou Military Command, Wuhan, Hubei Province, People’s Republic of China

    Yaopeng Xu

Authors
  1. Wei Jin
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  2. Yiqiao Xing
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  3. Yaopeng Xu
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  4. Wenjun Wang
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  5. Anhuai Yang
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Corresponding author

Correspondence to Anhuai Yang.

Additional information

All authors have full control of all primary data, and we agree to allow Graefe's Archive for Clinical and Experimental Ophthalmology to review our data upon request. There is no financial relationship with the organization that sponsored the research.

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Jin, W., Xing, Y., Xu, Y. et al. Management of delayed suprachoriodal haemorrhage after intraocular surgery and trauma. Graefes Arch Clin Exp Ophthalmol 252, 1189–1193 (2014). https://doi.org/10.1007/s00417-013-2550-x

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  • DOI: https://doi.org/10.1007/s00417-013-2550-x

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