Suprachoroidal hemorrhage after anterior segment surgery: clinical features and management outcomes

Introduction Suprachoroidal hemorrhage is an uncommon but potentially visually-disabling complication of ophthalmic surgery. The purpose of the current study was to report the clinical features, management strategies, and outcomes of suprachoroidal hemorrhage (SCH) after anterior segment surgery.RESEARCH DESIGN AND methods Retrospective consecutive case series of patients at Bascom Palmer Eye Institute with SCH after anterior segment surgery between 1 October 2020 and 1 January 2025.Results The study cohort consisted of 29 eyes of 29 patients. Causes of SCH included glaucoma surgery in 15 (52%), cataract surgery/intraocular lens repositioning in 7 (24%), and corneal surgery in 7 (24%). Best-corrected visual acuity at diagnosis was directly correlated with BCVA at last follow-up (r = 0.58; P < 0.001). Patients with non-appositional SCH had better mean BCVA at last follow-up (1.34) than those with appositional SCH (2.35; P = 0.01). Best-corrected visual acuity at last follow-up was better in eyes with non-appositional SCH who underwent observation (1.2) compared to those that underwent surgical drainage (1.5; P = 0.03).Conclusion Glaucoma surgery was the most common etiology of SCH in the current study. Visual outcomes in patients with SCH after anterior segment surgery are generally poor.