Outcomes of vitreoretinal interventions in management of perioperative suprachoroidal hemorrhage

To report visual and anatomical outcomes of vitreoretinal interventions in perioperative suprachoroidal hemorrhage (SCH).

Retrospective study of 21 eyes with perioperative SCH treated surgically from 2015-2022. Data collected included basic demographics, known ocular and systemic risk factors, type of SCH, surgical intervention, visual acuity (VA) (in logMAR) before and after surgery, and anatomical success. Anatomical success was defined as an attached retina at the last follow-up with/without tamponade.

Of the 21 eyes, 12 had intraoperative, and nine had delayed postoperative SCH. Index surgery was cataract (5), glaucoma (8), vitreoretinal (7), and others (1). Delayed SCH was most common after glaucoma surgery. Surgical interventions done were external choroidal drainage (CD) only (8), CD with pars plana vitrectomy (PPV) (10), and 2-step surgery (3). Seven eyes needed ≥1 surgery. Mean best-corrected visual acuity (BCVA) was 2.5 ± 0.2 logMAR after SCH and 2.1 ± 0.9 logMAR after therapy. At a mean follow-up of 16 months, 13 eyes had anatomical success. Five eyes had vision ≥1 logMAR.

Anatomical success is often achievable, but functional recovery is limited in eyes with suprachoroidal hemorrhage.