Document Detail

Long-term prognosis of eyes having had operative suprachoroidal expulsive hemorrhage.
MedLine Citation:
PMID:  8038685     Owner:  NLM     Status:  MEDLINE    
We reviewed the charts of 15 patients having had an operative suprachoroidal expulsive hemorrhage (SEH) at least 5 years prior to the time of review. In all cases the eyes were glaucomatous. All SEH occurred in close association with the surgery, with 14 cases occurring at the time of surgery and 1 case developing within 2 days of the procedure. Three eyes were markedly worse following the SEH, losing six or more lines of vision; in all cases this loss was due to retinal detachment. In a fourth eye in which a retinal detachment occurred postoperatively, fair acuity (20/100) was preserved. The other 11 eyes not having retinal detachment had no further complications, though 6 eyes eventually lost acuity during the next 5-15 years; this loss was due to progressive glaucoma and/or macular degenerative change and did not appear to be a function of damage related to the SEH itself. Two eyes subsequently had uncomplicated cataract extraction resulting in visual improvement. When an SEH neither causes immediate loss of choroid or retina nor is associated with postoperative retinal detachment, the SEH itself may not damage the long-term clinical course of the affected eye.
G L Spaeth; K A Baez
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  German journal of ophthalmology     Volume:  3     ISSN:  0941-2921     ISO Abbreviation:  Ger J Ophthalmol     Publication Date:  1994 May 
Date Detail:
Created Date:  1994-08-25     Completed Date:  1994-08-25     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9206441     Medline TA:  Ger J Ophthalmol     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  159-63     Citation Subset:  IM    
William & Anna Goldberg Glaucoma Service and Research Laboratories, Wills Eye Hospital/Jefferson Medical College, Philadelphia, PA 19107-5599.
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MeSH Terms
Aged, 80 and over
Choroid Hemorrhage / etiology*,  surgery
Exudates and Transudates
Glaucoma / complications,  physiopathology
Intraoperative Complications*
Longitudinal Studies
Middle Aged
Postoperative Complications*
Retinal Detachment / etiology,  physiopathology
Retrospective Studies
Visual Acuity

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

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