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BY Kim, DM Moshfeghi, JE Sears, PK Kaiser; Appositional Suprachoroidal Hemorrhage: Natural History, Interventions, and Visual Outcomes . Invest. Ophthalmol. Vis. Sci. 2002;43(13):620.
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© ARVO (1962-2015); The Authors (2016-present)
Purpose: To describe the clinical course and outcomes of appositional suprachoroidal hemorrhages (SCH). Methods: Retrospective chart review of patients with ultrasound-confirmed appositional SCH. Results: 37 total patients were identified: 34 Caucasians, 3 African-Americans, mean age 70.3 years. Of these patients, 32 had a history of open angle glaucoma, 16 had history of hypertension, and 10 were being anticoagulated at the time of SCH. 9 presented intraoperatively, 10 on postoperative day one, and 18 in the following postoperative period (mean 9.6 days). Mean follow up was 25.6 months. Procedures most commonly followed by SCH included trabeculectomy (n=15), Baerveldt implant (n=10), and phacoemulsification (n=10). 25 patients required surgical intervention. While pre-operative vision was ≷20/400 in 24 patients, only 7 patients either maintained or regained ≷20/400 vision in the post-operative period (light perception, n=8, no light perception, n=9). Complications included rhegmatogenous retinal detachment (n=14), hypotony (n=9), phthisis (n=8), traction retinal detachment (n=6), and epiretinal membrane (n=6). Two eyes were enucleated. Conclusion: Visual prognosis of appositional SCH is poor despite surgical intervention.
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