An alternative approach for management of delayed suprachoroidal hemorrhage after glaucoma procedures.
OBJECTIVE
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.
Mohammad
M
Pakravan
Shahin
S
Yazdani
Mohsen
M
Afroozifar
Nasim
N
Kouhestani
Mahmood
M
Ghassami
Morteza
M
Shahshahan
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002832:Choroid Hemorrhage / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D004322:Drainage / Q000379:methods*; D005260:Female; D015812:Glaucoma, Angle-Closure / Q000601:surgery*; D005902:Glaucoma, Open-Angle / Q000601:surgery*; D006801:Humans; D007429:Intraocular Pressure; D008297:Male; D013508:Ophthalmologic Surgical Procedures / Q000379:methods*; D011183:Postoperative Complications; D014130:Trabeculectomy; D016896:Treatment Outcome; D014792:Visual Acuity; D055815:Young Adult