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Abstract #8034 Published in IGR 4-3
The risk factors for massive suprachoroidal hemorrhage in the material of the Department of Ophthalmology, Medical Academy in Bialystok from 1990-2000
Obuchowska I; Mariak Z; Stankiewicz AKlinika Oczna 2002; 104: 89-92
PURPOSE: The aim of this study was to evaluate the risk factors for the development of expulsive hemorrhage in patients operated on at the Department of Ophthalmology, Medical Academy, Bialystok, from 1990-2000. MATERIAL AND METHODS: This was a retrospective study of 18 patients with massive suprachoroidal hemorrhage occurring in association with cataract and glaucoma surgery. RESULTS: The mean age of patients with expulsive hemorrhage was 69.5 years. There were ten females (55.6%) and eight males (44.4%). In the patients in whom suprachoroidal hemorrhage occurred, hypertension was present in five (27.7%) and diabetes in three (16.6%). Eight patients (44.4%) reported atherosclerotic cardiovascular disease. Seven patients (38.8%) had a history of glaucoma, six (33.3%) had high myopia. One patient had posterior synechiae after uveitis. All surgeries, except one, were performed under local anesthesia. There were no associations between suprachoroidal hemorrhage development and season. CONCLUSIONS: The results of this study suggest that the risk factors for the development of massive intraoperative suprachoroidal hemorrhage are: high myopia, glaucoma, and systemic cardiovascular diseases. A knowledge of these risk factors can help the physician in identifying patients who are at a greater risk of having massive suprachoroidal hemorrhage. LA: Polish
I. Obuchowska, MD, Kliniki Okulistyki Akademii Medycznej, Bialystok, Poland
Classification:
12.8.11 Complications, endophthalmitis (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
