Suprachoroidal hemorrhage: A classification of severity and its association with visual and anatomic outcome

W. J. Wirostko, O. P. Han, W. F. Mieler, Jose S Pulido, T. B. Connor, A. J. Hartz, C. E. Guse

Research output: Contribution to journalArticle

Abstract

Purpose. To report the visual and anatomic outcomes of eyes after surgical treatment for a suprachoroidal hemorrhage according to hemorrhage severity. Methods. A retrospective review of all patients receiving surgical intervention at our tertiary referral center for a choroidal hemorrhage since 1987 was performed. Eyes were classified according to severity of hemorrhage and were evaluated for final visual acuity, post-surgical hypotony(IOP5/200) in each category, respectively, was 42%(5/12), 4I%(7/17), 36%(4/ll),and !2%(l/8). Overall, 35%(17/48) of eyes maintained ambulatory vision. The prevalence of post-surgical hypotony in each category was 8%{1/12), 12%(2/17), 18%(2/11), and 50%(4/8). Overall, post-surgical hypotony developed in 19%(9/48) of eyes. Of eyes that presented with a retinal tear or detachment, the rate of retinal reattachment in each subgroup respectively was 78%(7/9), 62%(5/8), 62%(5/8), and 50%(4/8). Overall, retinal reattachment was obtained in 64%(21β3) of eyes, 10%(2/21) of which remained hypotonous. Conclusion. Eyes requiring surgical drainage of a suprachoroidal hemorrhage have a guarded prognosis with a poorer outcome associated with increasing hemorrhage severity. Our classification system incorporating appositional status of the choroid and incarceration of vitreous or retina into the wound provides a format for reporting and assessing the efficacy of management strategies in this condition.

Original languageEnglish (US)
JournalInvestigative Ophthalmology and Visual Science
Volume38
Issue number4
StatePublished - 1997
Externally publishedYes

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Hemorrhage
Choroid Hemorrhage
Retinal Perforations
Choroid
Retinal Detachment
Tertiary Care Centers
Visual Acuity
Retina
Drainage
Wounds and Injuries
Therapeutics

ASJC Scopus subject areas

  • Ophthalmology

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Suprachoroidal hemorrhage : A classification of severity and its association with visual and anatomic outcome. / Wirostko, W. J.; Han, O. P.; Mieler, W. F.; Pulido, Jose S; Connor, T. B.; Hartz, A. J.; Guse, C. E.

In: Investigative Ophthalmology and Visual Science, Vol. 38, No. 4, 1997.

Research output: Contribution to journalArticle

Wirostko, W. J. ; Han, O. P. ; Mieler, W. F. ; Pulido, Jose S ; Connor, T. B. ; Hartz, A. J. ; Guse, C. E. / Suprachoroidal hemorrhage : A classification of severity and its association with visual and anatomic outcome. In: Investigative Ophthalmology and Visual Science. 1997 ; Vol. 38, No. 4.
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abstract = "Purpose. To report the visual and anatomic outcomes of eyes after surgical treatment for a suprachoroidal hemorrhage according to hemorrhage severity. Methods. A retrospective review of all patients receiving surgical intervention at our tertiary referral center for a choroidal hemorrhage since 1987 was performed. Eyes were classified according to severity of hemorrhage and were evaluated for final visual acuity, post-surgical hypotony(IOP5/200) in each category, respectively, was 42{\%}(5/12), 4I{\%}(7/17), 36{\%}(4/ll),and !2{\%}(l/8). Overall, 35{\%}(17/48) of eyes maintained ambulatory vision. The prevalence of post-surgical hypotony in each category was 8{\%}{1/12), 12{\%}(2/17), 18{\%}(2/11), and 50{\%}(4/8). Overall, post-surgical hypotony developed in 19{\%}(9/48) of eyes. Of eyes that presented with a retinal tear or detachment, the rate of retinal reattachment in each subgroup respectively was 78{\%}(7/9), 62{\%}(5/8), 62{\%}(5/8), and 50{\%}(4/8). Overall, retinal reattachment was obtained in 64{\%}(21β3) of eyes, 10{\%}(2/21) of which remained hypotonous. Conclusion. Eyes requiring surgical drainage of a suprachoroidal hemorrhage have a guarded prognosis with a poorer outcome associated with increasing hemorrhage severity. Our classification system incorporating appositional status of the choroid and incarceration of vitreous or retina into the wound provides a format for reporting and assessing the efficacy of management strategies in this condition.",
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