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Incidence and outcome of suprachoroidal hemorrhage associated with pediatric glaucoma surgery
Ashwaq Al-Abeeri1, Sameer Ahmad2, Abdulrahman Al-Gaeed3
1Glaucoma Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.
Insights
Suprachoroidal hemorrhage (SCH) occurred in 0.64% of pediatric glaucoma surgeries. Most cases developed postoperatively, with varying visual acuity outcomes, indicating a need for further risk factor research.
Area of Science:
- Ophthalmology
- Pediatric Surgery
Background:
- Pediatric glaucoma requires surgical intervention.
- Suprachoroidal hemorrhage (SCH) is a known complication of ocular surgery.
- Understanding SCH incidence in pediatric glaucoma surgery is crucial for patient outcomes.
Purpose of the Study:
- To determine the incidence of suprachoroidal hemorrhage (SCH) in pediatric glaucoma surgery.
- To evaluate the visual outcomes following SCH in pediatric glaucoma patients.
Main Methods:
- Retrospective review of medical records for pediatric patients (<18 years) undergoing glaucoma surgery from June 2014 to September 2017.
- Clinical suspicion of SCH confirmed by B-scan ultrasound.
- Data extraction included baseline characteristics, surgical procedures, and patient outcomes.
Main Results:
- An overall incidence of 0.64% (17 of 2,656 surgeries) for SCH was observed.
- The majority of SCH cases (16/17) occurred postoperatively.
- Incidence varied by surgery type: trabeculectomy (3.3%), glaucoma drainage device (1.3%), deep sclerectomy (0.7%), and transscleral cyclophotocoagulation (0.18%).
- At final follow-up, 9 of 17 children had counting fingers or worse visual acuity.
Conclusions:
- The incidence of SCH in pediatric glaucoma surgery is 0.64%.
- Further investigation into specific risk factors for SCH in this population is warranted.
- SCH can lead to significant visual impairment in pediatric glaucoma patients.
Purpose:
To report the incidence and outcomes of suprachoroidal hemorrhage (SCH) associated with pediatric glaucoma surgery.
Method:
The medical records of pediatric patients (<18 years of age) who had undergone glaucoma surgery and developed SCH from June 2014 to September 2017 were reviewed retrospectively. In all cases, the SCH was suspected clinically and was confirmed by B-scan ultrasound. Baseline characteristics, intraoperative details (including surgery type), and subsequent and final outcomes were extracted from the records.
Results:
Of 2,656 glaucoma surgeries during the study period, 17 cases of SCH were documented, for an overall incidence of 0.64%. Of the 17 cases, 16 occurred postoperatively, and 1 was noted intraoperatively. By surgery type, the incidence of SCH was highest for trabeculectomy (4/121), followed by glaucoma drainage device surgery (6/463), deep sclerectomy (6/851), and transcleral cyclophotocoagulation (1/542). Four children had received prior transcleral cyclophotocoagulation, and 5 of the children were aphakic at the time of the glaucoma surgery. At a mean final follow-up of 1.71 ± 1.08 years), visual acuity in the affected eye was 20/50 or better in 3 children, between 20/50 and 20/200 in 5 children, and counting fingers or worse in 9 children.
Conclusions:
In our study cohort, the overall incidence of SCH associated with glaucoma surgery was 0.64%. Further study of risk factors for SCH associated with glaucoma surgery in children is needed.
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