Outcomes in Patients with Suprachoroidal Hemorrhage After Anterior Segment Surgery

Fan, Jason; Hudson, Julia; Pakravan, Parastou; Lazzarini, Thomas A.; Lin, Bryan; Fan, Kenneth C.; Yannuzzi, Nicolas A.; Sridhar, Jayanth; Townsend, Justin H.; Berrocal, Audina M.; Smiddy, William E.; Vanner, Elizabeth A.; Flynn, Harry W.

doi:10.2147/opth.s379557

Cited by 3 publications

(2 citation statements)

References 27 publications

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“…Clinically, SCH may present with severe unilateral eye pain, sudden severe vision loss, and elevated intraocular pressures. Typically, the visual prognosis is guarded, especially when associated with a retinal detachment, choroidal apposition, or secondary angle closure glaucoma [ 2 ]. Early medical and surgical interventions are crucial in preserving the globe, as globe perforations are a devastating complication [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

Aseptic Orbital Cellulitis as a Complication of Suprachoroidal Hemorrhage

Magazin¹,

Kasetty²,

Thomas³

2023

Cureus

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Suprachoroidal hemorrhage is a rare and potentially devastating clinical entity seen in individuals on anticoagulation presenting with severe unilateral eye pain, sudden vision loss, and elevated intraocular pressures. Herein, we report the first case of aseptic orbital cellulitis caused by recurrent spontaneous suprachoroidal hemorrhage. This case highlights an example of non-infectious orbital cellulitis arising from choroidal pathology in the setting of uncontrolled intraocular pressures and recurrent intraocular bleeding. Surgical intervention with blood drainage should be considered to prevent complications and preserve the globe.

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Section: Introductionmentioning

confidence: 99%

Aseptic Orbital Cellulitis as a Complication of Suprachoroidal Hemorrhage

Magazin¹,

Kasetty²,

Thomas³

2023

Cureus

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“…This can happen either acutely during the surgery or in a delayed manner postoperatively [6]. The most significant risk factor is hypotony or the sudden IOP drop in or after surgery [5], leading to choroidal effusion, stretching, and rupture of ciliary arteries [7]. Stretching of ciliary nerves leads to severe ocular pain [8].…”

Section: Introductionmentioning

confidence: 99%

Suprachoroidal Hemorrhage

Mohan,

Sadeghi,

Mohan

et al. 2023

Ophthalmologica

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Suprachoroidal hemorrhage (SCH) refers to the accumulation of blood in the suprachoroidal space, a relatively uncommon but significant complication that can occur spontaneously, during ophthalmic surgery or as a consequence of ocular trauma. If left undiagnosed and untreated, SCH can lead to severe vision loss or even blindness. Therefore, it is crucial for ophthalmologists to have a thorough understanding of this complication, taking proactive measures to prevent it during surgery and being knowledgeable about effective management strategies for patients with SCH. This review article aims to provide a comprehensive overview of SCH, covering its risk factors, diagnostic approaches, and the best practices for its management. By enhancing awareness and knowledge in this area, we can improve patient outcomes and minimize the impact of SCH in ophthalmic practice.

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Perioperative suprachoroidal hemorrhage and its surgical management: a systematic review

Ribeiro,

Monteiro,

Moleiro

et al. 2024

Int J Retin Vitr

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Purpose Suprachoroidal hemorrhage (SCH) is a rare but severely feared sight-threatening complication of intraocular surgery, and its management remains debatable. We intended to summarize the existing surgical management options regarding perioperative SCH, describing different techniques and their respective visual outcomes. Methods A systematic literature search of articles published since 1st January 2011 until 31st December 2022 was performed using MEDLINE (PubMed) and Scopus. Eligibility criteria included the adult population with SCH related to intraocular surgery. Results Thirty-eight studies enrolling 393 patients/eyes were assessed after a selection process among 525 records. We included 5 retrospective cohort studies, 15 case series and 18 case reports. We documented cases of acute SCH diagnosed intraoperatively and delayed SCH, treated until a maximum of 120 days after the diagnosis. Best corrected visual acuity at diagnosis was generally poor, with variable final visual outcomes. Techniques of external drainage with or without combined pars plana vitrectomy (PPV), type of endotamponade (if PPV performed), anterior chamber maintainer and reports of the use of recombinant tissue plasminogen activator were described. Conclusion To the best of our knowledge, this is the first systematic review assessing perioperative SCH and its surgical management. There is no standardized surgical approach of SCH and longitudinal intervention studies are lacking. To ensure that patients achieve the best possible visual outcome, prompt diagnosis and treatment are crucial. Therefore, further clinical research is on demand to improve the management of this clinical sight-threatening entity.

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Outcomes in Patients with Suprachoroidal Hemorrhage After Anterior Segment Surgery

Cited by 3 publications

References 27 publications

Aseptic Orbital Cellulitis as a Complication of Suprachoroidal Hemorrhage

Aseptic Orbital Cellulitis as a Complication of Suprachoroidal Hemorrhage

Suprachoroidal Hemorrhage

Perioperative suprachoroidal hemorrhage and its surgical management: a systematic review

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