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Outcomes in Patients with Suprachoroidal Hemorrhage After Anterior Segment Surgery

OBJECTIVE: 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 wit...

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Autores principales: Fan, Jason, Hudson, Julia L, Pakravan, Parastou, Lazzarini, Thomas A, Lin, Benjamin R, Fan, Kenneth C, Yannuzzi, Nicolas A, Sridhar, Jayanth, Townsend, Justin H, Berrocal, Audina M, Smiddy, William E, Vanner, Elizabeth A, Flynn Jr, Harry W
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9762989/
https://www.ncbi.nlm.nih.gov/pubmed/36544898
http://dx.doi.org/10.2147/OPTH.S379557
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author Fan, Jason
Hudson, Julia L
Pakravan, Parastou
Lazzarini, Thomas A
Lin, Benjamin R
Fan, Kenneth C
Yannuzzi, Nicolas A
Sridhar, Jayanth
Townsend, Justin H
Berrocal, Audina M
Smiddy, William E
Vanner, Elizabeth A
Flynn Jr, Harry W
author_facet Fan, Jason
Hudson, Julia L
Pakravan, Parastou
Lazzarini, Thomas A
Lin, Benjamin R
Fan, Kenneth C
Yannuzzi, Nicolas A
Sridhar, Jayanth
Townsend, Justin H
Berrocal, Audina M
Smiddy, William E
Vanner, Elizabeth A
Flynn Jr, Harry W
author_sort Fan, Jason
collection PubMed
description OBJECTIVE: 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.
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spelling pubmed-97629892022-12-20 Outcomes in Patients with Suprachoroidal Hemorrhage After Anterior Segment Surgery Fan, Jason Hudson, Julia L Pakravan, Parastou Lazzarini, Thomas A Lin, Benjamin R Fan, Kenneth C Yannuzzi, Nicolas A Sridhar, Jayanth Townsend, Justin H Berrocal, Audina M Smiddy, William E Vanner, Elizabeth A Flynn Jr, Harry W Clin Ophthalmol Original Research OBJECTIVE: 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. Dove 2022-12-15 /pmc/articles/PMC9762989/ /pubmed/36544898 http://dx.doi.org/10.2147/OPTH.S379557 Text en © 2022 Fan et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Original Research
Fan, Jason
Hudson, Julia L
Pakravan, Parastou
Lazzarini, Thomas A
Lin, Benjamin R
Fan, Kenneth C
Yannuzzi, Nicolas A
Sridhar, Jayanth
Townsend, Justin H
Berrocal, Audina M
Smiddy, William E
Vanner, Elizabeth A
Flynn Jr, Harry W
Outcomes in Patients with Suprachoroidal Hemorrhage After 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 Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9762989/
https://www.ncbi.nlm.nih.gov/pubmed/36544898
http://dx.doi.org/10.2147/OPTH.S379557
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