Original Article

Risk factors of peroperative suprachoroidal haemorrhage - Original Article

  • Özcan Rasim Kayıkçıoğlu
  • Sinan Emre
  • Bilge Demiray
  • Esin F. Başer
  • Emin Kurt
  • Suleyman Sami İlker

Received Date: 24.03.2009 Accepted Date: 14.05.2009 Turk J Ophthalmol 2009;39(5):398-402

Purpose:

The aim of this study is to evaluate peroperative risk factors of patients who had suprachoroidal haemorrhage during different types of intraocular surgeries.

Material and Method:

We retrospectively evaluated general risk factors of five patients who had suprachoroidal haemorrhage. For that purpose, we reviewed the preoperative systemic and ophthalmologic recordings, performed procedures, and complications during and after the surgery from patients’ files.

Results:

Suprachoroidal haemorrhage developed during cataract surgery with phacoemulsification in three cases, in a combined glaucoma and cataract surgery in one, and pars plana vitrectomy in one case. As surgical risk factor, one case had posterior capsular rupture, one hypermature cataract and one previous retinal detachment surgery. In the case with age-related macular degeneration and intravitreal heamorrhage, suprachoroidal haemorrhage arose during pars plana vitrectomy. Only the patient who underwent combined mini-nuc and trabeculectomy procedure had expulsive haemorrhage. As systemic risk factors all the patients were elderly, systemic hypertension, pain during the surgery, anxiety related to panic atac and prostate hypertrophy were other detected risk factors.

Discussion:

According to our clinical experiences, detected risk factors in our patients were in concordance with literature data. In addition to this, despite the smaller incision size trend in ophthalmic surgery, suprachoroidal haemorrhage is still an important potential complication, particularly in patients who had previous ocular surgeries or who had associated ophthalmologic or systemic risk factors.

Keywords: intraocular surgery, risk factors, suprachoroidal haemorrhage

Full Text (Turkish)