Suprachoroidal hemorrhage associated with cataract surgery: A case series analysis
This study aimed to identify risk factors, evaluate management strategies, and assess visual outcomes of suprachoroidal hemorrhage during cataract surgery through a retrospective analysis of five clinical cases and a literature review. We analyzed five cases of suprachoroidal hemorrhage occurring du...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2025-04-01
|
| Series: | Journal of International Medical Research |
| Online Access: | https://doi.org/10.1177/03000605251332434 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850041325847576576 |
|---|---|
| author | Rubing Liu Beiling Tan Han Wang Zebin Li Furong Luo Jifa Kuang Mingbing Zeng |
| author_facet | Rubing Liu Beiling Tan Han Wang Zebin Li Furong Luo Jifa Kuang Mingbing Zeng |
| author_sort | Rubing Liu |
| collection | DOAJ |
| description | This study aimed to identify risk factors, evaluate management strategies, and assess visual outcomes of suprachoroidal hemorrhage during cataract surgery through a retrospective analysis of five clinical cases and a literature review. We analyzed five cases of suprachoroidal hemorrhage occurring during phacoemulsification cataract surgery with intraocular lens implantation or intrascleral fixation of intraocular lens haptics at our institution (January 2013–September 2024). Among 48,725 cataract surgeries, five cases of suprachoroidal hemorrhage were identified (incidence: 0.01%). Key risk factors included preoperative angle-closure glaucoma (two cases), prior cataract surgery with vitrectomy (two cases), and advanced age (one case, mid-70s). Intraoperative suprachoroidal hemorrhage occurred in two cases (one with posterior capsular rupture), whereas the condition developed postoperatively in three cases. Management strategies comprised pars plana vitrectomy with scleral drainage (three cases), vitrectomy combined with intravitreal triamcinolone injection (one case), and conservative treatment (one case). The mean preoperative visual acuity improved significantly from 2.22 LogMAR to 0.6 LogMAR at the final follow-up (P = 0.007). These findings suggest that, in addition to the previously reported major risk factors for suprachoroidal hemorrhage, such as advanced age, glaucoma, and multiple surgeries, secondary intraocular lens implantation is a major risk factor. Comprehensive preoperative evaluation and meticulous control of intraoperative intraocular pressure fluctuations are essential to mitigate suprachoroidal hemorrhage risks and optimize surgical outcomes. |
| format | Article |
| id | doaj-art-802b67dfdb604bb7b028e3a95fdfe7eb |
| institution | DOAJ |
| issn | 1473-2300 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of International Medical Research |
| spelling | doaj-art-802b67dfdb604bb7b028e3a95fdfe7eb2025-08-20T02:55:49ZengSAGE PublishingJournal of International Medical Research1473-23002025-04-015310.1177/03000605251332434Suprachoroidal hemorrhage associated with cataract surgery: A case series analysisRubing LiuBeiling TanHan WangZebin LiFurong LuoJifa KuangMingbing ZengThis study aimed to identify risk factors, evaluate management strategies, and assess visual outcomes of suprachoroidal hemorrhage during cataract surgery through a retrospective analysis of five clinical cases and a literature review. We analyzed five cases of suprachoroidal hemorrhage occurring during phacoemulsification cataract surgery with intraocular lens implantation or intrascleral fixation of intraocular lens haptics at our institution (January 2013–September 2024). Among 48,725 cataract surgeries, five cases of suprachoroidal hemorrhage were identified (incidence: 0.01%). Key risk factors included preoperative angle-closure glaucoma (two cases), prior cataract surgery with vitrectomy (two cases), and advanced age (one case, mid-70s). Intraoperative suprachoroidal hemorrhage occurred in two cases (one with posterior capsular rupture), whereas the condition developed postoperatively in three cases. Management strategies comprised pars plana vitrectomy with scleral drainage (three cases), vitrectomy combined with intravitreal triamcinolone injection (one case), and conservative treatment (one case). The mean preoperative visual acuity improved significantly from 2.22 LogMAR to 0.6 LogMAR at the final follow-up (P = 0.007). These findings suggest that, in addition to the previously reported major risk factors for suprachoroidal hemorrhage, such as advanced age, glaucoma, and multiple surgeries, secondary intraocular lens implantation is a major risk factor. Comprehensive preoperative evaluation and meticulous control of intraoperative intraocular pressure fluctuations are essential to mitigate suprachoroidal hemorrhage risks and optimize surgical outcomes.https://doi.org/10.1177/03000605251332434 |
| spellingShingle | Rubing Liu Beiling Tan Han Wang Zebin Li Furong Luo Jifa Kuang Mingbing Zeng Suprachoroidal hemorrhage associated with cataract surgery: A case series analysis Journal of International Medical Research |
| title | Suprachoroidal hemorrhage associated with cataract surgery: A case series analysis |
| title_full | Suprachoroidal hemorrhage associated with cataract surgery: A case series analysis |
| title_fullStr | Suprachoroidal hemorrhage associated with cataract surgery: A case series analysis |
| title_full_unstemmed | Suprachoroidal hemorrhage associated with cataract surgery: A case series analysis |
| title_short | Suprachoroidal hemorrhage associated with cataract surgery: A case series analysis |
| title_sort | suprachoroidal hemorrhage associated with cataract surgery a case series analysis |
| url | https://doi.org/10.1177/03000605251332434 |
| work_keys_str_mv | AT rubingliu suprachoroidalhemorrhageassociatedwithcataractsurgeryacaseseriesanalysis AT beilingtan suprachoroidalhemorrhageassociatedwithcataractsurgeryacaseseriesanalysis AT hanwang suprachoroidalhemorrhageassociatedwithcataractsurgeryacaseseriesanalysis AT zebinli suprachoroidalhemorrhageassociatedwithcataractsurgeryacaseseriesanalysis AT furongluo suprachoroidalhemorrhageassociatedwithcataractsurgeryacaseseriesanalysis AT jifakuang suprachoroidalhemorrhageassociatedwithcataractsurgeryacaseseriesanalysis AT mingbingzeng suprachoroidalhemorrhageassociatedwithcataractsurgeryacaseseriesanalysis |