RetinaFebruary 20176 citations

VISCOELASTIC ASSISTED DRAINAGE OF SUPRACHOROIDAL HEMORRHAGE ASSOCIATED WITH SETON DEVICE IN GLAUCOMA FILTERING SURGERY.

Kurup Shree K, McClintic Jedediah I, Allen John C, Baartman Brandon J, Altaweel Michael M, Garg Sunir J, Quiroz-Mercado Hugo

View on PubMed DOI: 10.1097/IAE.0000000000001141

AI Summary

This study found viscoelastic-assisted drainage effectively treats large suprachoroidal hemorrhages after glaucoma seton surgery, restoring useful vision in most patients, offering a vital technique for this severe complication.

Abstract

Purpose

The purpose of this article is to describe a novel surgical technique for the management of large suprachoroidal hemorrhages associated with the insertion of glaucoma seton devices.

Methods

In this interventional case series, the authors describe six eyes of six patients who had management of suprachoroidal hemorrhage with pars plana choroidal drainage along with simultaneous insertion of viscoelastic into the posterior segment. All patients had a median of 8-month postoperative follow-up.

Results

Five of the 6 patients had useful final vision ranging from 20/40 to 20/200. In all cases, the postoperative intraocular pressures did not increase beyond 28 mmHg and responded to aqueous humor suppressants.

Conclusion

As suprachoroidal hemorrhage can be a devastating complication of glaucoma surgery, the authors report a relatively straightforward surgical technique that can restore ambulatory vision in a high proportion of patients.

MeSH Terms

AdultAgedAged, 80 and overChoroid HemorrhageDrainageFemaleFiltering SurgeryGlaucomaGlaucoma Drainage ImplantsHumansMaleViscoelastic Substances

Shields Classification

Ch. 24Glaucomas Associated with Intraocular Hemorrhage

Ch. 41Drainage Implant Surgery

Key Concepts4

Five of 6 patients (83.3%) who underwent viscoelastic assisted drainage of suprachoroidal hemorrhage with pars plana choroidal drainage along with simultaneous insertion of viscoelastic into the posterior segment had useful final vision ranging from 20/40 to 20/200.

TreatmentCase seriesInterventional Case Seriesn=6 eyes of 6 patientsCh42

In all 6 cases of viscoelastic assisted drainage of suprachoroidal hemorrhage, the postoperative intraocular pressures did not increase beyond 28 mmHg and responded to aqueous humor suppressants.

TreatmentCase seriesInterventional Case Seriesn=6 eyes of 6 patientsCh29Ch42

The authors report that viscoelastic assisted drainage of suprachoroidal hemorrhage is a relatively straightforward surgical technique that can restore ambulatory vision in a high proportion of patients with suprachoroidal hemorrhage associated with glaucoma surgery.

TreatmentCase seriesInterventional Case Seriesn=6 eyes of 6 patientsCh27Ch42

A novel surgical technique, viscoelastic assisted drainage of suprachoroidal hemorrhage, was described for the management of large suprachoroidal hemorrhages associated with the insertion of glaucoma seton devices.