February 15, 2007
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Secondary surgery after suprachoroidal hemorrhage improved results

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Patients who experience massive suprachoroidal hemorrhages generally have poor visual prognoses, although secondary surgeries can maximize their anatomical and functional outcomes, researchers in Greece found.

E. Feretis and colleagues at the Red Cross Hospital in Athens reviewed the results of five patients who developed hemorrhages and underwent subsequent radial sclerotomy and vitrectomy with perfluorocarbon and silicone oil. The hemorrhages occurred in four patients during or after phacoemulsification or glaucoma surgery and in one patient after traumatic scleral rupture, the authors said.

In all five cases, surgeons successfully restored the ocular structures, the authors said. Preop distance visual acuity ranged from light perception to hand movements; at 17 months' follow-up, the range of Snellen visual acuity had increased to 0.05 to 0.03, they said.

Their findings are published in the November/December issue of the European Journal of Ophthalmology.