Risk factors for suprachoroidal hemorrhage associated with glaucoma surgery in children: a case-control study.

IF 1.2 4区医学 Q3 OPHTHALMOLOGY Journal of Aapos Pub Date : 2024-07-26 DOI:10.1016/j.jaapos.2024.103973

Rakan Algorinees, Abdulrahman Alhomoud, Ashwaq Al-Abeeri, Abdulrahman Al-Gaeed, Priscilla Gikandi, Rizwan Malik

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Abstract

Purpose: To assess the risk factors for suprachoroidal hemorrhage (SCH) following glaucoma surgery in pediatric patients at a tertiary eye center.

Methods: The medical records of 326 patients (326 eyes) who underwent glaucoma surgery between January 2014, and September 2017 were reviewed retrospectively. Seventeen cases with SCH were compared with 309 controls who underwent uneventful glaucoma surgery during the same period. We documented age, sex, baseline intraocular pressure, glaucoma diagnosis, previous surgery, preoperative axial length, pachymetry, lens status and type of glaucoma surgery performed (whether combined with cataract or other glaucoma procedure or being standalone).

Results: Of the 17 cases of SCH, only a single case occurred intraoperatively; the remainder occurred in the early postoperative period. The most frequent diagnosis was primary congenital glaucoma (PCG), accounting for 10 patients (59%) in cases and 247 (80%) in controls, followed by glaucoma associated with nonacquired ocular anomalies, which accounted for 3 cases (18%) and 22 controls (7%). Aphakia and combined surgeries (in the univariate analysis) were found to be possible risk factors for the development of SCH, with none achieving significance in the multivariable analysis.

Conclusions: In our study cohort, combined surgeries as well aphakia were possible risk factors for SCH.

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与儿童青光眼手术相关的脉络膜上腔出血风险因素：病例对照研究。

目的：评估一家三级眼科中心的儿科患者青光眼手术后发生脉络膜上腔出血（SCH）的风险因素：方法：回顾性审查2014年1月至2017年9月期间接受青光眼手术的326名患者（326只眼）的病历。17例SCH患者与同期接受青光眼手术的309例对照组患者进行了比较。我们记录了患者的年龄、性别、基线眼压、青光眼诊断、既往手术情况、术前轴位长度、眼球厚度、晶状体状态和青光眼手术类型（是否与白内障或其他青光眼手术合并进行或单独进行）：在17例SCH病例中，只有一例发生在术中，其余均发生在术后早期。最常见的诊断是原发性先天性青光眼（PCG），病例中有 10 例（59%），对照组中有 247 例（80%），其次是与非后天性眼部异常相关的青光眼，病例中有 3 例（18%），对照组中有 22 例（7%）。在单变量分析中发现，无晶体眼和联合手术可能是SCH发病的风险因素，但在多变量分析中均未发现显著性：在我们的研究队列中，合并手术和无晶体眼都可能是导致SCH的危险因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Aapos 医学-小儿科

CiteScore

2.40

自引率

12.50%

发文量

159

审稿时长

55 days

期刊介绍： Journal of AAPOS presents expert information on children''s eye diseases and on strabismus as it affects all age groups. Major articles by leading experts in the field cover clinical and investigative studies, treatments, case reports, surgical techniques, descriptions of instrumentation, current concept reviews, and new diagnostic techniques. The Journal is the official publication of the American Association for Pediatric Ophthalmology and Strabismus.