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Visual acuity outcomes among patients with appositional suprachoroidal hemorrhage
I U Scott1, H W Flynn, J Schiffman
1Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Florida 33139, USA.
Ophthalmology
|December 24, 1997
Summary
Appositional suprachoroidal hemorrhage often leads to poor visual outcomes. Clinical factors like retinal detachment and afferent pupillary defect predict visual prognosis in these serious ocular complications.
Area of Science:
- Ophthalmology
- Retinal Diseases
- Surgical Complications
Background:
- Appositional suprachoroidal hemorrhage is a severe ocular complication.
- Understanding visual acuity outcomes and prognostic factors is crucial for patient management.
Purpose of the Study:
- To investigate visual acuity outcomes in patients with appositional suprachoroidal hemorrhage.
- To identify clinical features associated with visual prognosis in these patients.
Main Methods:
- Retrospective chart review of 51 patients with appositional suprachoroidal hemorrhage.
- Data abstracted included demographic and clinical information.
- Visual acuity assessed at 3, 6, and 12 months posthemorrhage.
Main Results:
- Only 29.4% of patients achieved pre-hemorrhage visual acuity or 20/200 or better; 27.5% had no light perception.
- Predictors of poor visual outcome included vitreous incarceration, retinal detachment, and afferent pupillary defect.
- Longer duration of central retinal apposition (>14 days) was significantly associated with worse final visual acuity.
Conclusions:
- Appositional suprachoroidal hemorrhage carries a guarded visual prognosis.
- Clinical features such as vitreous incarceration, retinal detachment, afferent pupillary defect, presenting visual acuity, and duration of retinal apposition can help predict outcomes.
- Early identification of these factors is essential for managing patients with this complication.