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Suprachoroidal hemorrhage during pars plana vitrectomy.
1Department of Ophthalmology, College of Medicine, University of Florida, Gainesville, Florida 32610-0284, USA. tabandeh@eye1.eye.ufl.edu
Current Opinion in Ophthalmology
|June 5, 2001
Summary
Suprachoroidal hemorrhage is a rare but serious complication of pars plana vitrectomy. Early identification of risk factors and localized hemorrhages improve visual prognosis.
Area of Science:
- Ophthalmology
- Retinal Surgery
Background:
- Suprachoroidal hemorrhage (SCH) is an uncommon but serious complication during pars plana vitrectomy (PPV).
- SCH can lead to a guarded visual prognosis and compromise final visual and anatomic outcomes.
Purpose of the Study:
- To identify risk factors associated with suprachoroidal hemorrhage during pars plana vitrectomy.
- To discuss the implications of SCH on visual prognosis and surgical outcomes.
Main Methods:
- Review of literature and clinical case data pertaining to suprachoroidal hemorrhage during pars plana vitrectomy.
- Analysis of risk factors, intraoperative events, and postoperative outcomes.
Main Results:
- Identified risk factors include high myopia, prior retinal detachment surgery, rhegmatogenous retinal detachment, cryotherapy, scleral buckling, subretinal fluid drainage, intraoperative hypertension, and patient "bucking" during anesthesia.
- Outcomes can be compromised by persistent retinal detachment, secondary glaucoma, and ocular hypotony.
- Intraoperative drainage of SCH is generally not associated with improved outcomes.
Conclusions:
- The prognosis for suprachoroidal hemorrhage during pars plana vitrectomy is more favorable when the hemorrhage is localized and does not involve the posterior pole.
- Management strategies should focus on identifying and mitigating risk factors to prevent SCH during PPV.