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An Alternative Approach for Management of Delayed Suprachoroidal Hemorrhage After Glaucoma Procedures

Pakravan, Mohammad MD*,†; Yazdani, Shahin MD*,†; Afroozifar, Mohsen MD; Kouhestani, Nasim MD; Ghassami, Mahmood MD; Shahshahan, Morteza MD

doi: 10.1097/IJG.0b013e31825afb25
Original Studies

Purpose: To introduce an alternative approach for management of delayed suprachoroidal hemorrhage (DSCH) after intraocular procedures, and to report the outcomes of such intervention in a consecutive series of patients.

Methods: This interventional case series reports consecutive cases of DSCH after glaucoma procedures, managed with a different approach. Instead of the usual 7 to 14 days observation period for clot lysis, the hemorrhage was drained from the suprachoroidal space immediately after diagnosis. Outcome measures included visual acuity and intraocular pressure.

Results: Seven eyes of 7 patients including 4 men and 3 women, with mean age of 42.6±29.6 years with DSCH were enrolled. Immediately after the diagnosis, choroidal tap and anterior chamber reformation were performed for all patients and followed for 21.4±13.4 months. Intraocular pressure decreased significantly after intervention (P=0.01). The mean final visual acuity improved significantly to 1.09±0.31 logarithm of minimum angle of resolution (LogMAR) (P=0.003).

Conclusions: It seems that surgical drainage immediately after the diagnosis of DSCH can be considered as an alternative to the more conservative approach.

*Department of Ophthalmology, Labbafinejad Medical Center

Ophthalmic Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Presented as an oral presentation in European Society of Cataract and Refractive Surgeons Meeting, Vienna, 2011.

Disclosure: Supported by the Ophthalmic Research Center, Shahid Beheshti Medical Sciences University, Tehran, Iran. The authors declare no conflict of interest.

Reprints: Mohammad Pakravan, MD, Department of Ophthalmology, Labbafinejad Medical Center, Pasdaran Ave. Boostan 9 St., Tehran 16666-94516, Iran (e-mail: mohpakravan@gmail.com).

© 2014 by Lippincott Williams & Wilkins.