Abstract
A suprachoroidal hemorrhage is defined by blood filling the potential space between the sclera and choroid. This can occur in association with intraocular surgery or trauma, and rarely has been reported to take place spontaneously. Risk factors include older age, glaucoma, sudden hypotony, myopia, aphakia, anticoagulation, arteriosclerotic cardiovascular disease, hypertension, choroidal hemangiomas associated with Sturge-Weber syndrome, and intraoperative tachycardia.
Limited suprachoroidal hemorrhages can be managed conservatively. Mydriatics, cycloplegics, and steroids may be used, and elevated intraocular pressure should be addressed. Analgesics should be prescribed to help with pain control.
B-scan ultrasound should be performed to document the size and extent of the suprachoroidal hemorrhage and can be used to follow the evolution with time.
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Chu TG, Green RL. Suprachoroidal hemorrhage. Surv Ophthalmol. 1999;43(6):471–86.
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Gupta, R.R., Lewis, D.R. (2021). Drainage of Suprachoroidal Hemorrhage. In: Rosenberg, E.D., Nattis, A.S., Nattis, R.J. (eds) Operative Dictations in Ophthalmology. Springer, Cham. https://doi.org/10.1007/978-3-030-53058-7_121
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DOI: https://doi.org/10.1007/978-3-030-53058-7_121
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