An alternative approach for management of delayed suprachoroidal hemorrhage after glaucoma procedures

Purpose: To introduce an alternative approach for management of delayed suprachoroidal hemorrhage (DSCH) after intraocular procedures, and to report the outcomes of such intervention in a consecutive series of patients. Methods: This interventional case series reports consecutive cases of DSCH after glaucoma procedures, managed with a different approach. Instead of the usual 7 to 14 days observation period for clot lysis, the hemorrhage was drained from the suprachoroidal space immediately after diagnosis. Outcome measures included visual acuity and intraocular pressure. Results: Seven eyes of 7 patients including 4 men and 3 women, with mean age of 42.6±29.6 years with DSCH were enrolled. Immediately after the diagnosis, choroidal tap and anterior chamber reformation were performed for all patients and followed for 21.4±13.4 months. Intraocular pressure decreased significantly after intervention (P=0.01). The mean final visual acuity improved significantly to 1.09±0.31 logarithm of minimum angle of resolution (LogMAR) (P=0.003). Conclusions: It seems that surgical drainage immediately after the diagnosis of DSCH can be considered as an alternative to the more conservative approach.