Management of suprachoroidal hemorrhage

Abstract

Suprachoroidal hemorrhages, both expulsive and delayed nonexpul-sive, are among the most devastating complications of intraocular surgery. It has been almost 80 years since Verhoeff introduced the use of drainage sclerotomies to treat these eyes. During the last few years, there have been several new advances in the surgical management of suprachoroidal hemorrhages, especially in delayed, nonexpulsive choroidal hemorrhages associated with retinal detachment. The use of perfluorocarbon liquids, silicone oil, viscoelastic substances, and continuous limbal infusion of saline or air has been shown to be beneficial. Recent studies have also identified new risk factors and positive and negative prognostic indicators in the management of this dreaded complication.