Suprachoroidal hemorrhage as a complication of vitrectomy.
Ophthalmic Surg Lasers
; 32(4): 281-8, 2001.
Article
en En
| MEDLINE
| ID: mdl-11475392
ABSTRACT
OBJECTIVE:
To study the risk factors, management, and end results of suprachoroidal hemorrhage that occur during or after vitrectomy. MATERIALS ANDMETHODS:
This retrospective study involves patients suffering from this complication either during the curing process or immediately after vitrectomy. Preoperative risk factors, operative management, postoperative picture, and end results are reported.RESULTS:
During the study period, surgery was performed on 3342 patients with primary vitrectomy. Complications were experienced by 4 patients 2 occurred near the end of vitrectomy, and 2 in the first postoperative day. The 4 patients were myopic more than 7 diopters, 2 were pseudophakic and 2 were aphakic. Cryopexy was used to treat the retinal breaks in the operative cases. Perfluorophenanthrene was used as a postoperative tamponade in one operative case. Reoperation was done in the 4 patients 3 to 8 weeks after surgery. Silicone oil was used as a prolonged tamponade in all cases. Hypotony persisted in operative cases. All the patients had vision more than 20/400 at the end of follow-up (6 to 24 months).CONCLUSION:
The risk factors for suprachoroidal hemorrhage were old age, high myopia, aphakia or pseudophakia, retinal detachment, and scleral buckle. Postoperative suprachoroidal hemorrhage has a better prognosis than the operative type. Perfluorophenanthrene "vitreon" as an operative and postoperative tamponade has a beneficial effect in keeping the retina attached and in preventing pooling of blood under the macula.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Vitrectomía
/
Hemorragia de la Coroides
Tipo de estudio:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Ophthalmic Surg Lasers
Asunto de la revista:
OFTALMOLOGIA
Año:
2001
Tipo del documento:
Article
País de afiliación:
Egipto