Surgical treatment of choroidal hemorrhage

Purpose: To review the outcome of surgery for intra- or postoperative choroidal hemorrhage. Cases and Methods: Seven eyes of 7 cases received surgery for choroidal hemorrhage during a two-year period. Their ages ranged from 49 to 89 years, average 70 years. They were evaluated regarding risk factors, retinal reattachment, and visual outcome. Results: Choroidal hemorrhage developed during vitrectomy 2 eyes, after vitrectomy 3 eyes, and during or after cataract surgery 1 eye respectively. Following features appeared to be risk factors: age over 65 years 6 cases, systemic hypertension 6 cases, diabetes mellitus 3 cases, axial length over 26 mm one case, and intraoperative ocular hypotony 2 cases. Choroidal hemorrhage was drained through the scleral port in 5 eyes. Additional sclerotomy had to be performed in the other 2 eyes. The retinal became reattached in 6 out of 7 eyes. Final visual acuity was the same or better than the preoperative value in 5 eyes. Conclusion: Surgical intervention is indicated for surgery-related choroidal hemorrhage.