Outcomes of Eyes with Concurrent Suprachoroidal Hemorrhage and Retinal Detachment: A Multicenter Study.

Document Type

Article

Publication Date

9-30-2026

Publication Title

Retina (Philadelphia, Pa.)

Abstract

PURPOSE: To characterize eyes with concurrent suprachoroidal hemorrhage and retinal detachment (SCH-RD).

METHODS: Retrospective study of eyes with SCH-RD from two institutions between 1/1/2013 and 12/31/2022. The primary outcome was the 6-month change in visual acuity (VA).

RESULTS: Forty-four eyes of 44 patients (mean age 64.5 years, 40.9% female) were included. The RD was rhegmatogenous in 31 (70.5%) cases, exudative in 11 (25.0%) cases, and tractional in 2 (4.5%) cases. Proliferative vitreoretinopathy (PVR) was present in 22 (50.0%) cases. The mean (SD) presenting VA was 2.50 (0.46) logMAR (hand motion to light perception). Thirty-one (70.5%) cases underwent attempted surgical repair of RD at a median (IQR) 13.0 (6.0, 23.0) days after RD diagnosis. Of these 31 cases, 11 (35.5%) cases achieved single surgery success, defined as retinal attachment at 6 months with one surgery. At 6 months after presentation, the mean (SD) VA improved by 0.26 (0.78) logMAR [13.0 letters], with 19 (43.2%) cases achieving ≥ 3-line VA improvement and 4 (9.1%) cases achieving 20/200 VA or better. In multivariable analysis, greater VA improvement was associated with worse presenting VA and the absence of PVR. Twenty-seven (61.4%) cases achieved retinal attachment at 6 months. In multivariable analysis, greater odds of retinal attachment were associated with undergoing multiple surgeries for RD repair and the absence of PVR.

CONCLUSION: Eyes with SCH-RD have guarded visual prognoses, especially when PVR is present. Undergoing multiple surgeries for RD repair and the absence of PVR were associated with greater odds of achieving retinal attachment.

DOI

10.1097/IAE.0000000000005026

ISSN

1539-2864

PubMed ID

42814014

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