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Outcomes of suprachoroidal haemorrhage drainage with and without vitrectomy: a 10-year study

Amreen Qureshi1, Assad Jalil1, David C Sousa1

  • 1Manchester Royal Eye Hospital, Manchester University NHS Foundation Trust, Manchester, UK.

Eye (London, England)
|September 4, 2020
PubMed

Insights

Suprachoroidal haemorrhage (SCH) drainage surgery, with or without vitrectomy, is a valuable approach for managing extensive SCH. This study found a 75% anatomical and functional success rate, improving visual acuity in patients with this challenging condition.

Area of Science:

  • Ophthalmology
  • Surgical Innovation

Background:

  • Suprachoroidal haemorrhage (SCH) presents significant management challenges in ophthalmology.
  • Effective surgical interventions for extensive SCH are crucial for improving patient outcomes.

Purpose of the Study:

  • To evaluate the safety and efficacy of SCH drainage surgery over a decade.
  • To compare outcomes of external drainage versus combined drainage and vitrectomy for SCH.

Main Methods:

  • Retrospective observational study of 20 patients undergoing SCH drainage (2008-2018).
  • Assessment of surgery-related complications, functional, and anatomical success.
  • Comparison between external drainage alone and combined drainage with vitrectomy.

Main Results:

  • Mean pre-operative BCVA improved significantly post-surgery (p=0.002).
  • Overall anatomical and functional success rates were 75%.
  • Severe hypotony occurred in 4 patients; common risk factors included age over 70, hypertension, cardiovascular disease, and glaucoma.

Conclusions:

  • Drainage of SCH, with or without vitrectomy, is an effective management strategy.
  • This surgical approach offers a valuable option for extensive SCH, a condition often linked to poor prognosis.
Abstract

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