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Abstract #5885 Published in IGR 2-1
Massive suprachoroidal hemorrhage: secondary treatment and outcome
Meier P; Wiedemann PGraefe's Archive for Clinical and Experimental Ophthalmology 2000; 238:28-32
PURPOSE: Massive suprachoroidal expulsive hemorrhage (SCH) is a dramatic and devastating intraocular complication of intraocular surgery and trauma that can result in total loss of vision. The aim of this study was to present the results of secondary surgical treatment of eyes following massive SCH. PATIENTS AND METHODS: The authors treated ten patients suffering from massive SCH by combined radial sclerotomies for suprachoroidal drainage and vitrectomy with use of perfluorocarbon and instillation of silicone oil. They analyzed the clinical characteristics, visual acuity and anatomical status before and after secondary treatment. RESULTS: Visual acuity of all eyes suffering from SCH was light perception. Postoperatively, five patients with SCH showed either no improvement of function or visual acuity of counting fingers. An increase in visual acuity to maximal 0.1 was seen in four eyes; one patient achieved 0.6. With a minimum of six months' follow-up, four eyes developed hypotony, two eyes became phthisical, and in two eyes recurrent traction retinal detachment occurred. CONCLUSION: Secondary treatment by combined suprachoroidal drainage by sclerotomies and vitrectomy should be performed to minimize the damaging effect of choroidal hemorrhage.
Dr. P. Meier, University Eye Hospital Leipzig, Liebigstrasse 10-14, D-04103 Leipzig, Germany
Classification:
12.8.11 Complications, endophthalmitis (Part of: 12 Surgical treatment > 12.8 Filtering surgery)