Michele Reibaldi1, Antonio Longo2, Mario R Romano3, Gilda Cennamo3, Cesare Mariotti4, Francesco Boscia5, Vincenza Bonfiglio2, Teresio Avitabile2. 1. Department of Ophthalmology, University of Catania, Catania, Italy. Electronic address: mreibaldi@libero.it. 2. Department of Ophthalmology, University of Catania, Catania, Italy. 3. Department of Ophthalmology, Second University of Napoli, Napoli, Italy. 4. Department of Ophthalmology, University of Ancona, Ancona, Italy. 5. Department of Ophthalmology, University of Sassari, Sassari, Italy.
Abstract
PURPOSE: To determine the incidence, risk factors, and outcomes of delayed suprachoroidal hemorrhage after vitrectomy. DESIGN: Retrospective multicenter cohort study. METHODS: All consecutive patients who underwent primary vitrectomy, from January 2009 to December 2014, at 4 tertiary vitreoretinal centers in Italy were enrolled. Patient demographics and systemic, ophthalmic, operative, and postoperative data from all centers were extracted from the electronic record system using standardized data collection forms. All eyes that developed delayed suprachoroidal hemorrhage within 48 hours of the end of the vitrectomy were identified as the delayed suprachoroidal hemorrhage group; all other eyes that underwent vitrectomy in the same period, without delayed suprachoroidal hemorrhage, were considered the control group. RESULTS: From a total of 4852 vitrectomy procedures, 39 cases of delayed suprachoroidal hemorrhage (0.8%) were identified. Multivariable logistic regression showed that significant risk factors for developing delayed suprachoroidal hemorrhage included advancing age (odds ratio [OR], 2.22; P < .001), longer axial length (OR, 2.57; P < .001), presence of rhegmatogenous retinal detachment (OR, 3.27; P = .005), extensive intraoperative photocoagulation (OR, 4.94; P < .001), and emesis postoperatively (OR, 24.39; P < .001). Decision-tree analysis showed that the stronger predictors of delayed suprachoroidal hemorrhage were emesis postoperatively (P < .001) and extensive intraoperative photocoagulation (P < .001). After a mean follow-up of 27 ± 8 months, the best-corrected visual acuity decreased from 1.3 preoperatively to 1.6 logarithm of minimal angle of resolution at last follow-up (P < .001). CONCLUSIONS: Delayed suprachoroidal hemorrhage occurs in 0.8% of vitrectomized eyes. The main risk factors are postoperative emesis and intraoperative extensive photocoagulation.
PURPOSE: To determine the incidence, risk factors, and outcomes of delayed suprachoroidal hemorrhage after vitrectomy. DESIGN: Retrospective multicenter cohort study. METHODS: All consecutive patients who underwent primary vitrectomy, from January 2009 to December 2014, at 4 tertiary vitreoretinal centers in Italy were enrolled. Patient demographics and systemic, ophthalmic, operative, and postoperative data from all centers were extracted from the electronic record system using standardized data collection forms. All eyes that developed delayed suprachoroidal hemorrhage within 48 hours of the end of the vitrectomy were identified as the delayed suprachoroidal hemorrhage group; all other eyes that underwent vitrectomy in the same period, without delayed suprachoroidal hemorrhage, were considered the control group. RESULTS: From a total of 4852 vitrectomy procedures, 39 cases of delayed suprachoroidal hemorrhage (0.8%) were identified. Multivariable logistic regression showed that significant risk factors for developing delayed suprachoroidal hemorrhage included advancing age (odds ratio [OR], 2.22; P < .001), longer axial length (OR, 2.57; P < .001), presence of rhegmatogenous retinal detachment (OR, 3.27; P = .005), extensive intraoperative photocoagulation (OR, 4.94; P < .001), and emesis postoperatively (OR, 24.39; P < .001). Decision-tree analysis showed that the stronger predictors of delayed suprachoroidal hemorrhage were emesis postoperatively (P < .001) and extensive intraoperative photocoagulation (P < .001). After a mean follow-up of 27 ± 8 months, the best-corrected visual acuity decreased from 1.3 preoperatively to 1.6 logarithm of minimal angle of resolution at last follow-up (P < .001). CONCLUSIONS:Delayed suprachoroidal hemorrhage occurs in 0.8% of vitrectomized eyes. The main risk factors are postoperative emesis and intraoperative extensive photocoagulation.
Authors: Terry Lee; Atalie C Thompson; C Ellis Wisely; Mitchell G Nash; Eric A Postel; Leon Herndon Journal: Graefes Arch Clin Exp Ophthalmol Date: 2021-09-15 Impact factor: 3.117
Authors: Vincenza Bonfiglio; Mario D Toro; Antonio Longo; Teresio Avitabile; Robert Rejdak; Katarzyna Nowomiejska; Tomasz Choragiewicz; Andrea Russo; Matteo Fallico; Agnieszka Kaminska; Elina Ortisi; Stefano Zenoni; Michele Reibaldi Journal: J Ophthalmol Date: 2018-10-23 Impact factor: 1.909
Authors: Andrea Russo; Antonio Longo; Teresio Avitabile; Vincenza Bonfiglio; Matteo Fallico; Francesco Boscia; Claudio Furino; Salvatore Cillino; Mario Toro; Robert Rejdak; Katarzyna Nowomiejska; Michele Reibaldi Journal: J Clin Med Date: 2019-11-13 Impact factor: 4.241