Delayed suprachoroidal haemorrhage after glaucoma operations

Delayed suprachoroidal haemorrhage occurred in 13 eyes in a consecutive series of 432 cases undergoing trabeculectomy or anterior chamber (A/C) tube drainage operations. Aphakia and vitrectomy were associated with an increased risk of haemorrhage, whilst advanced age, myopia, systemic hypertension and high preoperative intraocular pressure were not. Haemorrhage occurred more often after A/C tube drainage operations than after trabeculectomy. An explanation for this may be that eyes requiring A/C tube drainage operations have had multiple previous operations including lens extraction and vitrectomy, have a higher pre-operative intraocular pressure and a greater fall in pressure after operation when compared to eyes undergoing trabeculectomy. Post-operative hypotony should be avoided in high-risk eyes.