Outcomes in Patients with Suprachoroidal Hemorrhage After Anterior Segment Surgery.

Autor: Fan, Jason, Hudson, Julia L, Pakravan, Parastou, Lazzarini, Thomas A, Lin, Benjamin R, Fan, Kenneth C, Yannuzzi, Nicolas A, Sridhar, Jayanth, Townsend, Justin H, Berrocal, Audina M, Smiddy, William E, Vanner, Elizabeth A, Jr, Harry W Flynn
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Zdroj: Clinical Ophthalmology; Dec2022, Vol. 16, p4199-4205, 7p
Abstrakt: purpose of the current study is to report outcomes of suprachoroidal hemorrhage (SCH) after anterior segment surgery at a single institution, and to identify clinical features associated with visual prognosis. Methods and Analysis: Retrospective consecutive case series of patients with SCH occurring after anterior segment surgery. Results: The study includes 112 eyes of 112 patients between 2014 and 2020. There were 76 cases of non-appositional SCH versus 36 cases of appositional SCH. The mean presenting visual acuity for patients with non-appositional versus appositional SCH was 2.03 logMAR (SD 0.78) versus 2.39 logMAR (SD 0.43), respectively. Visual acuity outcomes generally remained poor at last follow-up: 64 (58%) patients had a visual acuity (VA) of ≤ 20/200, including 19 (17%) with light perception (LP), and 11 (10%) with no light perception (NLP). Regarding management of non-appositional versus appositional SCH, observation was selected in 46 (61%) vs 12 (33%), delayed drainage in 14 (18%) vs 15 (42%), delayed pars plana vitrectomy in 16 (21%) vs 13 (36%), and VA at last follow-up was 1.2 versus 1.86 logMAR (p=0.002). In patients that were observed, both appositional SCH (p=0.01) and duration of apposition (p=0.04) were correlated with worse outcome. Conclusion: Appositional SCH was associated with poorer visual outcomes compared to non-appositional SCH. Observation remains a reasonable management strategy for non-appositional SCH. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index
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