Suprachoroidal hemorrhage

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Summary of Evidence

Evidence

1. Associations

Retrospective review

2022 Madhu et.al.

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2022
Retrospective review

Of the 1167250 patients who underwent cataract surgery between 2008 to 2020, 52 eyes (0.004%)  had expulsive choroidal hemorrhage (ECH). The change in the ocular anesthesia from peribulbar and retrobulbar anesthesia (2008-2015) to sub-Tenon’s anesthesia (2016-2020) was associated with a reduced rate of ECH (p-value 0.002). Postoperative visual outcome was poor.

Review

2009 Ghadhfan and Khan

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2009
Review

There are few reports of pediatric delayed suprachoroidal hemorrhage. The greatest risk for this complication seems to be after Ahmed valve implantation in the setting of aphakia.{Ghadhfan FE, Khan AO. Delayed suprachoroidal hemorrhage after pediatric glaucoma surgery. J AAPOS. 2009 Jun;13(3):283-6.}

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Clinical trial

1992 FFS study group

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1992
Clinical trial

In the Fluorouracil Filtering Surgery Study, the risk of suprachoroidal hemorrhage was strongly associated with the level of the preoperative intraocular pressure.{Risk factors for suprachoroidal hemorrhage after filtering surgery. The Fluorouracil Filtering Surgery Study Group. Am J Ophthalmol. 1992 May 15;113(5):501-7.}

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2. Management

Review

2018 Learned and Eliot

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2018
Review

Review of treatment recommendations and outcomes.

Time of drainage of suprachoroidal hemorrhages remains controversial. Earlier drainage should be considered with high intraocular pressure, expulsion of intraocular content, or retinal detachment. In clinically stable eyes with suprachoroidal hemorrhage, recommendations range from observation to immediate drainage. Clot lysis occurs at roughly 14 days.{Learned D, Eliott D. Management of Delayed Suprachoroidal Hemorrhage after Glaucoma Surgery. Semin Ophthalmol. 2018;33(1):59-63.}

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References

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