Document Detail

Delayed suprachoroidal hemorrhage after pediatric glaucoma surgery.
MedLine Citation:
PMID:  19541268     Owner:  NLM     Status:  MEDLINE    
INTRODUCTION: The purpose of this study was to identify surgical risk factors for delayed suprachoroidal hemorrhage after glaucoma surgery in children. METHODS: A retrospective literature review (1966-2008) of pediatric glaucoma surgery outcomes (performed in patients <18 years of age) was conducted; cases of delayed suprachoroidal hemorrhage were identified and reviewed. RESULTS: The literature review identified 2,491 surgeries, from which 9 cases of delayed suprachoroidal hemorrhage (9/2,491, 0.36%) were documented in 5 case series. Six (4 documented aphakic, 2 possibly aphakic) occurred after Ahmed valve implantation (6/389, 1.5%; 2 of the 6 cases associated with intraoperative mitomycin-C use). The other 3 (all 3 possibly aphakic) occurred after trabeculectomy with antimetabolite (3/741, 0.4%). CONCLUSIONS: There are few reports of pediatric delayed suprachoroidal hemorrhage. The greatest risk for this complication seems to be after Ahmed valve implantation in the setting of aphakia. Because intraoperative mitomycin-C use may increase the risk for pediatric delayed suprachoroidal hemorrhage after Ahmed valve implantation, mitomycin-C should not be applied in this setting without evidence for improved valve function from its use.
Faisal E Ghadhfan; Arif O Khan
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus / American Association for Pediatric Ophthalmology and Strabismus     Volume:  13     ISSN:  1528-3933     ISO Abbreviation:  J AAPOS     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2009-06-22     Completed Date:  2009-09-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9710011     Medline TA:  J AAPOS     Country:  United States    
Other Details:
Languages:  eng     Pagination:  283-6     Citation Subset:  IM    
Division of Pediatric Ophthalmology, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.
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MeSH Terms
Choroid Hemorrhage / epidemiology*
Glaucoma / epidemiology*,  surgery*
Postoperative Complications / epidemiology*
Risk Factors
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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