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Abstract #50475 Published in IGR 14-2
An Alternative Approach for Management of Delayed Suprachoroidal Hemorrhage After Glaucoma Procedures
Pakravan M; Yazdani S; Afroozifar M; Kouhestani N; Ghassami M; Shahshahan MJournal of Glaucoma 2014; 23: 37-40
PURPOSE: 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.
Full articleClassification:
12.8.11 Complications, endophthalmitis (Part of: 12 Surgical treatment > 12.8 Filtering surgery)