Expulsive hemorrhage after glaucoma filtering surgery.
OBJECTIVE
To evaluate the incidence, patient risk factors, diagnosis and management of suprachoroidal hemorrhage (SCH) after glaucoma filtering surgery.


METHODS
Retrospective case series study comprised 1553 eyes having glaucoma filtering surgery during the last 15 years (between January 1993 and December 2007) at our department. Observations included incidence, patient risk factors, peri and postoperative diagnosis, management, and outcomes of SCH after this procedure.


RESULTS
Two cases of SCH were revealed. In one eye SCH developed at the end of surgery, in the other eye in the postoperative period. Both patients had systemic and ocular risk factors (hypertension, high preoperative intraocular pressure, myopia, pseudoexfoliation, aphakia or pseudophakia). Visual functions improved in the case of intraoperative SCH over 2 months withouth surgical intervention, in the eye with delayed postoperative SCH visual outcome was poor despite multiple lavages of anterior chamber and vitreous cavity.


CONCLUSIONS
Suprachoroidal hemorrhage, both expulsive and delayed, is a rare, but severely debilitating complication of glaucoma surgery.
Department of Ophthalmology, University Hospital, Hradec Kralove, Czech Republic. jirasnad@fnhk.cz
Nada
N
Jiraskova
Pavel
P
Rozsival
Jana
J
Pozlerova
Marie
M
Ludvikova
Mariya
M
Burova
D000368:Aged; D000867:Anterior Chamber; D002832:Choroid Hemorrhage / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D005260:Female; D018463:Filtering Surgery / Q000009:adverse effects*; D005901:Glaucoma / Q000601:surgery*; D006801:Humans; D007431:Intraoperative Complications; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D020127:Recovery of Function; D007507:Therapeutic Irrigation; D013997:Time Factors; D016896:Treatment Outcome; D014792:Visual Acuity