Management of delayed suprachoriodal haemorrhage after intraocular surgery and trauma.
BACKGROUND
[corrected] To indentify surgical risk factors for delayed suprachoroidal haemorrhage (DSCH) and to report the outcomes of an effective intervention in a consecutive of patients.


METHODS
The clinical data of ten patients diagnosed with DSCH in our hospital between July 2007 and December 2012 were extracted from hospital records and analyzed, including ophthalmologic examination, ophthalmologic ultrasonography, surgical procedures, and outcome measures including visual acuity and intraocular pressure.


RESULTS
Ten eyes of ten patients including six men and four women with mean age of 56.6 ± 17.67 years, with DSCH, were enrolled. After diagnosis, drainage or/and pars plana vitrectomy were performed for eight patients; another two received conservative treatment. All the patients were followed up for 15.2 ± 4.3 months. Intraocular pressure decreased significantly (p < 0.001); the mean final visual acuity improved significantly after intervention (p < 0.001).


CONCLUSIONS
We emphasized other great risk factors such as intraoperative mitomycin-C use, systemic anticoagulation or thrombolysis, and chronic kidney disease. It seems that earlier surgical intervention after the diagnosis of DSCH will be beneficial to patients by improving their final visual acuity.
Eye Center, Renmin Hospital of Wuhan University, Jiefang Road 238#, Wuhan, Hubei Province, 430060, People's Republic of China.
Wei
W
Jin
Yiqiao
Y
Xing
Yaopeng
Y
Xu
Wenjun
W
Wang
Anhuai
A
Yang
D000328:Adult; D000368:Aged; D002832:Choroid Hemorrhage / Q000209:etiology / Q000628:therapy*; D003907:Dexamethasone / Q000627:therapeutic use; D004322:Drainage / Q000379:methods; D018479:Early Intervention, Educational; D005131:Eye Injuries / Q000150:complications*; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008875:Middle Aged; D013508:Ophthalmologic Surgical Procedures / Q000009:adverse effects*; D011183:Postoperative Complications; D014821:Vitrectomy
D005938:Glucocorticoids; D003907:Dexamethasone