early drainage of delayed suprachoroidal hemorrhage following glaucoma surgery

نویسندگان

محمد پاکروان

m pakravan ophthalmic research center, shahid beheshti university of medical sciences, tehran, iranتهران- پاسداران- بوستان نهم- بیمارستان لبافی نژاد- مرکز تحقیقات چشم شاهین یزدانی

sh yazdani ophthalmic research center, shahid beheshti university of medical sciences, tehran, iranتهران- پاسداران- بوستان نهم- بیمارستان لبافی نژاد- مرکز تحقیقات چشم نسیم کوهستانی

n kohestani ophthalmic research center, shahid beheshti university of medical sciences, tehran, iranتهران- پاسداران- بوستان نهم- بیمارستان لبافی نژاد- مرکز تحقیقات چشم آزاده دوزنده

a doozandeh ophthalmic research center, shahid beheshti university of medical sciences, tehran, iranدانشگاه علوم پزشکی شهید بهشتی محمود قسامی

چکیده

purpose: to evaluate the effect of early drainage of delayed suprachoroidal hemorrhage (sch) after glaucoma surgery. methods: these study reports seven cases of delayed supra-choroidal hemorrhage following glaucoma surgery managed with early drainage. in this series instead of waiting for 7 to 14 days for clot lysis, the sch was drained from the suprachoroidal space immediately after diagnosis. results: seven eyes of 7 patients with delayed sch including 4 men and 3 women were enrolled in the study. median age was 42.57±29.61 years and mean follow up duration was 21.43±13.35 months. immediately after diagnosis, choroidal tap and anterior chamber reformation were performed for all the patients. intraocular pressure (iop) decreased significantly after intervention. at final follow up, mean visual acuity was 1.08±0.31 logmar. immediate surgical drainage of suprachoroidal hemorrhage seems to be an effective and safe method for treatment of delayed sch; and it may decrease the inflammation from the entrapped blood in suprachoroidal space and reduce complications and additional procedures. larger trials are recommended for further evaluation.

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