Outcomes in Patients with Suprachoroidal Hemorrhage After Anterior Segment Surgery
Jason Fan, Julia L Hudson, Parastou Pakravan, Thomas A Lazzarini, Benjamin R Lin, Kenneth C Fan, Nicolas A Yannuzzi, Jayanth Sridhar, Justin H Townsend, Audina M Berrocal, William E Smiddy, Elizabeth A Vanner, Harry W Flynn Jr Department of Ophthalmology, Bascom Palmer Eye Institute, University of M...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2022-12-01
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| Series: | Clinical Ophthalmology |
| Subjects: | |
| Online Access: | https://www.dovepress.com/outcomes-in-patients-with-suprachoroidal-hemorrhage-after-anterior-seg-peer-reviewed-fulltext-article-OPTH |
| _version_ | 1811293325479641088 |
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| author | Fan J Hudson JL Pakravan P Lazzarini TA Lin BR Fan KC Yannuzzi NA Sridhar J Townsend JH Berrocal AM Smiddy WE Vanner EA Flynn HW Jr |
| author_facet | Fan J Hudson JL Pakravan P Lazzarini TA Lin BR Fan KC Yannuzzi NA Sridhar J Townsend JH Berrocal AM Smiddy WE Vanner EA Flynn HW Jr |
| author_sort | Fan J |
| collection | DOAJ |
| description | Jason Fan, Julia L Hudson, Parastou Pakravan, Thomas A Lazzarini, Benjamin R Lin, Kenneth C Fan, Nicolas A Yannuzzi, Jayanth Sridhar, Justin H Townsend, Audina M Berrocal, William E Smiddy, Elizabeth A Vanner, Harry W Flynn Jr Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami, Miami, FL, USACorrespondence: Harry W Flynn Jr, Bascom Palmer Eye Institute, 900 NW 17th St, Miami, FL, 33136, USA, Email HFlynn@med.miami.eduObjective: The purpose of the current study is to report outcomes of suprachoroidal hemorrhage (SCH) after anterior segment surgery at a single institution, and to identify clinical features associated with visual prognosis.Methods and Analysis: Retrospective consecutive case series of patients with SCH occurring after anterior segment surgery.Results: The study includes 112 eyes of 112 patients between 2014 and 2020. There were 76 cases of non-appositional SCH versus 36 cases of appositional SCH. The mean presenting visual acuity for patients with non-appositional versus appositional SCH was 2.03 logMAR (SD 0.78) versus 2.39 logMAR (SD 0.43), respectively. Visual acuity outcomes generally remained poor at last follow-up: 64 (58%) patients had a visual acuity (VA) of ≤ 20/200, including 19 (17%) with light perception (LP), and 11 (10%) with no light perception (NLP). Regarding management of non-appositional versus appositional SCH, observation was selected in 46 (61%) vs 12 (33%), delayed drainage in 14 (18%) vs 15 (42%), delayed pars plana vitrectomy in 16 (21%) vs 13 (36%), and VA at last follow-up was 1.2 versus 1.86 logMAR (p=0.002). In patients that were observed, both appositional SCH (p=0.01) and duration of apposition (p=0.04) were correlated with worse outcome.Conclusion: Appositional SCH was associated with poorer visual outcomes compared to non-appositional SCH. Observation remains a reasonable management strategy for non-appositional SCH.Keywords: suprachoroidal hemorrhage, non-appositional, appositional, anterior segment surgery |
| first_indexed | 2024-04-13T04:59:42Z |
| format | Article |
| id | doaj.art-27ccbc81ad414bb9b70c9f87b73cfa3c |
| institution | Directory Open Access Journal |
| issn | 1177-5483 |
| language | English |
| last_indexed | 2024-04-13T04:59:42Z |
| publishDate | 2022-12-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Clinical Ophthalmology |
| spelling | doaj.art-27ccbc81ad414bb9b70c9f87b73cfa3c2022-12-22T03:01:22ZengDove Medical PressClinical Ophthalmology1177-54832022-12-01Volume 164199420580366Outcomes in Patients with Suprachoroidal Hemorrhage After Anterior Segment SurgeryFan JHudson JLPakravan PLazzarini TALin BRFan KCYannuzzi NASridhar JTownsend JHBerrocal AMSmiddy WEVanner EAFlynn HW JrJason Fan, Julia L Hudson, Parastou Pakravan, Thomas A Lazzarini, Benjamin R Lin, Kenneth C Fan, Nicolas A Yannuzzi, Jayanth Sridhar, Justin H Townsend, Audina M Berrocal, William E Smiddy, Elizabeth A Vanner, Harry W Flynn Jr Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami, Miami, FL, USACorrespondence: Harry W Flynn Jr, Bascom Palmer Eye Institute, 900 NW 17th St, Miami, FL, 33136, USA, Email HFlynn@med.miami.eduObjective: The purpose of the current study is to report outcomes of suprachoroidal hemorrhage (SCH) after anterior segment surgery at a single institution, and to identify clinical features associated with visual prognosis.Methods and Analysis: Retrospective consecutive case series of patients with SCH occurring after anterior segment surgery.Results: The study includes 112 eyes of 112 patients between 2014 and 2020. There were 76 cases of non-appositional SCH versus 36 cases of appositional SCH. The mean presenting visual acuity for patients with non-appositional versus appositional SCH was 2.03 logMAR (SD 0.78) versus 2.39 logMAR (SD 0.43), respectively. Visual acuity outcomes generally remained poor at last follow-up: 64 (58%) patients had a visual acuity (VA) of ≤ 20/200, including 19 (17%) with light perception (LP), and 11 (10%) with no light perception (NLP). Regarding management of non-appositional versus appositional SCH, observation was selected in 46 (61%) vs 12 (33%), delayed drainage in 14 (18%) vs 15 (42%), delayed pars plana vitrectomy in 16 (21%) vs 13 (36%), and VA at last follow-up was 1.2 versus 1.86 logMAR (p=0.002). In patients that were observed, both appositional SCH (p=0.01) and duration of apposition (p=0.04) were correlated with worse outcome.Conclusion: Appositional SCH was associated with poorer visual outcomes compared to non-appositional SCH. Observation remains a reasonable management strategy for non-appositional SCH.Keywords: suprachoroidal hemorrhage, non-appositional, appositional, anterior segment surgeryhttps://www.dovepress.com/outcomes-in-patients-with-suprachoroidal-hemorrhage-after-anterior-seg-peer-reviewed-fulltext-article-OPTHsuprachoroidal hemorrhagenon-appositionalappositionalanterior segment surgery |
| spellingShingle | Fan J Hudson JL Pakravan P Lazzarini TA Lin BR Fan KC Yannuzzi NA Sridhar J Townsend JH Berrocal AM Smiddy WE Vanner EA Flynn HW Jr Outcomes in Patients with Suprachoroidal Hemorrhage After Anterior Segment Surgery Clinical Ophthalmology suprachoroidal hemorrhage non-appositional appositional anterior segment surgery |
| title | Outcomes in Patients with Suprachoroidal Hemorrhage After Anterior Segment Surgery |
| title_full | Outcomes in Patients with Suprachoroidal Hemorrhage After Anterior Segment Surgery |
| title_fullStr | Outcomes in Patients with Suprachoroidal Hemorrhage After Anterior Segment Surgery |
| title_full_unstemmed | Outcomes in Patients with Suprachoroidal Hemorrhage After Anterior Segment Surgery |
| title_short | Outcomes in Patients with Suprachoroidal Hemorrhage After Anterior Segment Surgery |
| title_sort | outcomes in patients with suprachoroidal hemorrhage after anterior segment surgery |
| topic | suprachoroidal hemorrhage non-appositional appositional anterior segment surgery |
| url | https://www.dovepress.com/outcomes-in-patients-with-suprachoroidal-hemorrhage-after-anterior-seg-peer-reviewed-fulltext-article-OPTH |
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