MULTICENTER STUDY OF FACTORS ASSOCIATED WITH VISUAL AND ANATOMIC OUTCOMES OF SUPRACHOROIDAL HEMORRHAGE

Area of Science:

• Ophthalmology
• Retinal diseases
• Surgical outcomes

Background:

• Suprachoroidal hemorrhage (SCH) is a rare but serious complication following ocular surgery or trauma.
• Understanding the factors influencing visual recovery and anatomical success in SCH cases is crucial for patient management.

Purpose of the Study:

• To evaluate the visual acuity and anatomical success outcomes in eyes affected by suprachoroidal hemorrhage.
• To identify factors associated with visual prognosis, including the role of systemic steroids and concurrent retinal detachment.

Main Methods:

• A retrospective study included 143 eyes with SCH from January 2013 to December 2022.
• Visual acuity changes at 6 months were the primary outcome, analyzed alongside anatomical success.
• Multivariable analysis and a matched comparison of eyes with and without systemic steroid use were performed.

Main Results:

• The mean visual acuity change at 6 months was -0.41 logMAR, with 71.3% achieving anatomic success.
• Concurrent retinal detachment was significantly associated with worse visual and anatomical outcomes (P < 0.05).
• Eyes treated with systemic steroids showed a higher likelihood of achieving a ≥ 3-line gain in visual acuity compared to controls (77.8% vs 55.3%, P = 0.047).

Conclusions:

• The visual prognosis for eyes with suprachoroidal hemorrhage is generally guarded.
• Systemic steroid administration may be linked to a modest improvement in visual outcomes.
• Concurrent retinal detachment is a significant negative prognostic factor for both visual acuity and anatomical success.