Suprachoroidal hemorrhage during pars plana vitrectomy

Tabandeh, Homayoun; Sullivan, Paul; Smahliuk, Peter; Flynn, Harry W.; Schiffman, Joyce C.

doi:10.1016/s0161-6420(99)90062-3

Cited by 99 publications

(48 citation statements)

References 31 publications

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“…All patient included in this study had at least one systemic or ocular risk factor for developing SCH. The more prevalent systemic risk factors were HTN and aspirin treatment, a finding that is in agreement with other studies (17,18,25) . Two well established ocular risk factors, glaucoma and myopia, were also common among our patients (17,26) .…”

Section: Discussionsupporting

confidence: 92%

The surgical management of massive intraoperative and postoperative suprachoroidal hemorrhage: anatomic and functional outcomes

Lavinsky¹,

Moisseiev²,

Levkovitch-Verbin³

2013

Arq. Bras. Oftalmol.

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Purpose: To describe the clinical characteristics, management and treatment outcomes of patients with post-surgical suprachoroidal hemorrhage (SCH). Methods: A retrospective cross-sectional study was conducted, in which the medical records of 9 consecutive patients with SCH admitted to the Goldschleger Eye Institute were reviewed. Results: The mean age was 74 years (range 61-84) and the mean follow-up time was 38.3 ± 0.1 months (range 4-87 months). Four cases were associated with glaucoma surgeries (2 trabeculectomies and 2 Ahmed valve implantations), 3 cases with cataract surgery and 2 cases with pars plana vitrectomy. The diagnosis of SCH was ranging from intra-operative to 8 days following the primary procedure. Most patients underwent posterior sclerotomies and drainage alone or combined with pars plana vitrectomy in a mean timing of intervention of 11 ± 4 days. At one month of follow-up the visual acuity improved in 7 eyes and remained stable in 2, compared to the VA prior to the drainage operation. The mean VA improved from 2.03 to 1.285 logMAR units at 1 month following the drainage procedure (p=0.003). Conclusions: SCH still remains a challenging complication of many ophthalmological procedures. The current surgical management may improve visual acuity though the general prognosis is still poor.

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Section: Discussionsupporting

confidence: 92%

The surgical management of massive intraoperative and postoperative suprachoroidal hemorrhage: anatomic and functional outcomes

Lavinsky¹,

Moisseiev²,

Levkovitch-Verbin³

2013

Arq. Bras. Oftalmol.

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“…1 Inferior RD presents a distinctive surgical challenge to vitreoretinal surgeons, and common vitrectomy with gas tamponade is supplemented with scleral buckling (SB) to achieve adequate tamponade of the inferior retina. However, there has been an increasing trend to move away from SB owing to complications, such as choroidal haemorrhage, 2 diplopia, 3 extrusion and infection, 4 and anterior segment ischaemia. 5 Silicone oil has been shown to be an effective tamponade agent for complex RD, including those complicated by proliferative vitreoretinopathy (PVR).…”

Section: Introductionmentioning

confidence: 99%

Clinical complications of Densiron 68 intraocular tamponade for complicated retinal detachment

Zheng

et al. 2009

Eye

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Purpose To report and disscuss the postoperative complications in patients after Densiron 68 intraocular tamponade in the management of complicated retinal detachment with proliferative vitreoretinopathy (PVR). Methods We presented a prospective interventional non-comparative case series of 27 eyes of 27 consecutive patients. Inclusion criteria were PVR, posterior or inferior retinal breaks, and the patient's inability to posture. Vitreoretinal surgery with Densiron 68 intraocular tamponade was performed in all patients. Complications were recorded at 1 week and 1, 2, and 3 months after Densiron 68 intraocular tamponade and after removal of Densiron 68 endotamponade at same periods. Results The most common complication was posterior capsule opacification and cataract development in seven eyes (25.9%) and in two eyes (25%, 2/8), respectively, the second complication was intraocular inflammation in six eyes (22.2%), the third complication was emulsification and dispersion and raised intraocular pressure in five eyes (18.5%), respectively. The success rate with one operation using Densiron 68 was 85.2% and with further surgery 92.5%. Visual acuity improved from mean logMAR of 2.12 (SD ¼ 0.68) to 1.16 (SD ¼ 0.84), P ¼ 0.0001. Conclusions According to the results of this study, postoperative complications did not increase significantly in the vitreoretinal surgery with temporary Densiron 68 intraocular tamponade. Densiron 68 intraocular tamponade is safe and effective in treating complicated retinal detachment.

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“…The surgeon should choose among scleral buckling, retinopexy, and sometimes pars plana vitrectomy for these conditions [147][148][149][150][151][152][153]. Subretinal and suprachoroidal hemorrhages are further uncommon but serious complications arising during the external transchoroidal drainage of subretinal fluid [154].…”

Section: Episcleral Surgerymentioning

confidence: 99%