Secondary management of suprachoroidal hemorrhages

Ten cases of postoperative suprachoroidal hemorrhages involving the macular area, following eight cataract extractions and two trabeculectomies, were drained through an anterior temporal sclerostomy. Vitrectomy was performed only in case of vitreous incarceration in the corneal wound and through the same sclerostomy. This simple procedure gave good anatomical results in eight cases and good visual results in seven cases. Since this postoperative complication can spontaneously heal well, we limit the indications for drainage to cases of kissing choroidal detachments, of associated serous retinal detachment, and when a vitrectomy is needed.