Suprachoroidal Hemorrhage Clinical Outcomes and Management
Summary
Suprachoroidal haemorrhage is a bleeding event into the space between the choroid and sclera that can arise spontaneously or during intraocular surgery. It carries a high risk of vision loss owing to rapid elevation of intraocular pressure and haemodynamic compromise of retinal and choroidal tissues. Systemic risk factors include advanced age, hypertension and anticoagulant therapy, while anatomical predispositions encompass high myopia, aphakia and prior vitrectomy. Management spans conservative measures—such as ocular hypotensive agents, corticosteroids and careful observation—to surgical interventions, including external drainage, pars plana vitrectomy combined with endotamponade, and evolving adjuncts like intralesional fibrinolytic agents. Timing of drainage remains a critical determinant of outcomes: early intervention can limit tissue damage, but premature surgery may exacerbate haemorrhage. Global research efforts aim to refine indications, optimise surgical techniques and establish standardised protocols. Although visual prognosis often remains guarded, selective application of advanced therapies has enabled anatomical and functional salvage in a subset of patients, underscoring the need for consensus guidelines and further multicentre studies.
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Suprachoroidal Hemorrhage Clinical Outcomes and Management publication trend
The graph below shows the total number of articles in suprachoroidal hemorrhage clinical outcomes and management across all publications each year (not limited to Nature Index journals).
Technical terms
Suprachoroidal haemorrhage: Bleeding between the choroid and sclera, often sight-threatening.
Pars plana vitrectomy: Surgical removal of vitreous gel to access and treat posterior segment pathology.
Expulsive haemorrhage: Sudden intraoperative suprachoroidal bleeding causing extrusion of ocular contents.
Endotamponade: Use of gas or silicone oil within the eye to stabilise retinal and choroidal structures after surgery.
Intraocular pressure: Fluid pressure inside the eye, critical for ocular integrity and blood flow.
Aphakia: Absence of the eye’s natural crystalline lens, often following surgical removal.
Pseudophakia: Presence of an artificial intraocular lens implant after cataract extraction.
References
- Suprachoroidal hemorrhage associated with pars plana vitrectomy. BMC Ophthalmology (2021).
- Perioperative suprachoroidal hemorrhage and its surgical management: a systematic review. International Journal of Retina and Vitreous (2024).
- Management of Suprachoroidal Hemorrhage during Phacoemulsification: A Comprehensive Review. Medicina (2023).
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