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Clinical Characteristics and Outcomes of Hemorrhagic Choroidal Detachments From 2003-2020: A Single Center Experience
Prashant D Tailor1, Kenny Y Wang1, Timothy T Xu1
1The Department of Ophthalmology, Mayo Clinic College of Medicine.
Insights
Hemorrhagic choroidal detachments (HCDs) did not show significant differences in visual outcomes between appositional and non-appositional types. Surgical intervention did not improve final vision in patients with HCDs.
Area of Science:
- Ophthalmology
- Retinal Diseases
- Surgical Outcomes
Background:
- Hemorrhagic choroidal detachments (HCDs) are a significant clinical entity.
- Characterizing HCDs is crucial for understanding visual prognoses.
Purpose of the Study:
- To characterize the clinical features and visual outcomes of patients with HCDs.
- To compare outcomes between appositional and non-appositional HCDs.
- To evaluate the impact of surgical intervention and anticoagulation on visual outcomes.
Main Methods:
- Retrospective case series of 39 patients with HCDs at Mayo Clinic (2003-2020).
- Patients classified as appositional or non-appositional via ultrasonography.
- Analysis of initial and final visual acuity (VA), and comparison of surgical vs. non-surgical and anticoagulated vs. non-anticoagulated groups.
Main Results:
- 15 HCDs were appositional, 24 were non-appositional.
- Significant difference in initial VA between appositional and non-appositional groups (P < .001).
- No significant difference in final VA between groups (P = .30), nor between surgical/non-surgical or anticoagulated/non-anticoagulated patients.
Conclusions:
- Appositional and non-appositional HCDs do not differ significantly in visual outcomes.
- Surgical intervention was not associated with improved final vision in this cohort.
Background And Objective:
This study aimed to characterize clinical characteristics and visual outcomes of patients with hemorrhagic choroidal detachments.
Patients And Methods:
Single-center retrospective case series of patients with hemorrhagic choroidal detachments from January 1, 2003, to December 31, 2020 at Mayo Clinic. Patients were categorized as appositional or non-appositional based on ultra-sonography.
Results:
Among 39 cases with hemorrhagic choroidal detachments, 15 (38%) were appositional and 24 (62%) were non-appositional. There was a significant difference between the appositional and non-appositional groups in mean initial logMAR visual acuity (VA) (2.8 [SD = 0.20] vs 2.2 [SD = 0.78], P < .001). However, no difference was observed in final logMAR VA (1.9 [SD = 1.2] vs 1.5 [SD = 1.1], P = .30). Comparison between surgical (N = 9) versus non-surgical (N = 5) hemorrhagic appositional choroidal detachments cases revealed no differences in outcomes. Comparison between anticoagulated (N = 21) versus nonanticoagulated (N = 18) patients with hemorrhagic choroidal detachments also revealed no differences in outcomes.
Conclusion:
Patients with appositional and nonappositional hemorrhagic choroidal detachments did not differ significantly with regards to visual outcome. Surgical intervention was not associated with improved final vision in this cohort.