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Abstract #71341 Published in IGR 18-3
VISCOELASTIC ASSISTED DRAINAGE OF SUPRACHOROIDAL HEMORRHAGE ASSOCIATED WITH SETON DEVICE IN GLAUCOMA FILTERING SURGERY
Kurup SK; McClintic JI; Allen JC; Baartman BJ; Altaweel MM; Garg SJ; Quiroz-Mercado HRetina (Philadelphia, Pa.) 2017; 37: 396-399
PURPOSE: The purpose of this article is to describe a novel surgical technique for the management of large suprachoroidal hemorrhages associated with the insertion of glaucoma seton devices. METHODS: In this interventional case series, the authors describe six eyes of six patients who had management of suprachoroidal hemorrhage with pars plana choroidal drainage along with simultaneous insertion of viscoelastic into the posterior segment. All patients had a median of 8-month postoperative follow-up. RESULTS: Five of the 6 patients had useful final vision ranging from 20/40 to 20/200. In all cases, the postoperative intraocular pressures did not increase beyond 28 mmHg and responded to aqueous humor suppressants. CONCLUSION: As suprachoroidal hemorrhage can be a devastating complication of glaucoma surgery, the authors report a relatively straightforward surgical technique that can restore ambulatory vision in a high proportion of patients.
*Department of Ophthalmology, Wake Forest University, Winston-Salem, North Carolina;†Ophthalmology, University of Kansas, Prairie Village, Kansas;‡Mid Atlantic Retina, Retina Service of Wills Eye Institute, Philadelphia, Pennsylvania;§University of Wisconsin, Madison, Wisconsin; and¶Department of Ophthalmology, University of Colorado, Aurora, Colorado.
Full articleClassification:
12.8.5 Other (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
12.8.2 With tube implant or other drainage devices (Part of: 12 Surgical treatment > 12.8 Filtering surgery)