Suprachoroidal hemorrhage
| Autor: | William F. Mieler, William J. Wirostko, Dennis P. Han, Thomas B. Connor, Evelyn M. Kuhn, Jose S. Pulido |
|---|---|
| Rok vydání: | 1998 |
| Předmět: |
Intraocular pressure
medicine.medical_specialty Visual acuity genetic structures business.industry Eye disease medicine.medical_treatment Retinal detachment Retinal Vitrectomy medicine.disease eye diseases Surgery Ophthalmology chemistry.chemical_compound medicine.anatomical_structure chemistry Severity of illness medicine sense organs Choroid medicine.symptom business |
| Zdroj: | Ophthalmology. 105:2271-2275 |
| ISSN: | 0161-6420 |
| Popis: | Objective To report the visual and anatomic outcome after surgical drainage of suprachoroidal hemorrhage according to hemorrhage severity. Design A retrospective chart review. Participants Forty-eight consecutive eyes undergoing surgical drainage of a suprachoroidal hemorrhage at The Medical College of Wisconsin were examined. Intervention Demographic and clinical data were abstracted from patients' medical records. Eyes were classified into four categories of increasing hemorrhage complexity: (1) nonappositional choroidal hemorrhage without vitreous or retinal incarceration in the wound (12 eyes); (2) centrally appositional choroidal hemorrhage without vitreous or retinal incarceration in the wound (17 eyes); (3) choroidal hemorrhage with associated vitreous incarceration in the wound (11 eyes); and (4) choroidal hemorrhage with associated retinal incarceration in the wound (8 eyes). Main outcome measures Visual acuity, rate of persistent hypotony, and incidence of irreparable retinal detachment after surgical drainage for four classes of suprachoroidal hemorrhage were defined. Results Overall, 11 (23%) of 48 eyes had no light perception (NLP) vision develop, 9 (19%) of 48 eyes had persistent postsurgical hypotony (intraocular pressure P P P = 0.11) was observed with increasing suprachoroidal hemorrhage complexity. Eyes with retinal incarceration, compared to eyes without retinal incar- ceration, had an increased rate of NLP vision (63% vs. 15%; P P P = 0.07). Conclusions Eyes requiring surgical drainage of a suprachoroidal hemorrhage have a guarded prognosis, with a poorer outcome associated with increasing hemorrhage complexity. A classification system incorporating choroidal apposition, and vitreous and retinal incarceration in the wound, provides a format for reporting and assessing the efficacy of management strategies in this condition. |
| Databáze: | OpenAIRE |
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