2015/10/23 by Thomas Laube, Laube, Thomas, Claudia Brockmann +3
Medicine · #610 Medical sciences #Child Abuse and Related Trauma #Glaucoma and retinal disorders #Medicine #Retinal and Macular Surgery #cataract extraction #massive suprachoroidal hemorrhage #silicone oil #vitrectomy
paper · doi:10.3205/oc000032
openalex publication_date 2015/10/23 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/19
OBJECTIVE: To describe options for vitreoretinal surgery in the management of massive suprachoroidal hemorrhage (SCH). METHODS: Visual acuity (VA), ocular findings, timing of surgical intervention, surgical procedures, and outcomes of four patients diagnosed with massive SCH and admitted to the University Eye Clinic Essen were reviewed retrospectively. RESULTS: Four eyes of four patients (mean age, 82 years; range, 74-89 years) were studied. In three cases the occurrence of SCH was related to cataract surgery and occurred intra- or postoperatively. One patient developed spontaneous SCH of unclear origin. Three patients had a history of arterial hypertension; one eye had high myopia, two patients suffered from cardiovascular diseases, and two patients had glaucoma. Postoperative follow up of the patients ranged from 5 to 29.5 months (mean, 19.6 months). Transscleral drainage of SCH was in all cases combined with pars plana vitrectomy, use of heavy liquids (perfluorodecalin) and silicone oil tamponade. The mean time interval from hemorrhage to surgical intervention was 16.5 days (range 5-29 days). Preoperative VA of all eyes was light perception. Two patients achieved a final postoperative visual acuity of 20/20 and 20/320, respectively, one patient improved to hand motion, and one patient resulted in no light perception. CONCLUSIONS: Surgical interventions including transscleral drainage of SCH, vitrectomy, and silicone oil tamponade are valuable options in the management of massive SCH to save the eye and possibly improve the otherwise extreme poor prognosis.