Clinical Characteristics and Outcomes of Hemorrhagic Choroidal Detachments From 2003-2020: A Single Center Experience.

BACKGROUND AND

OBJECTIVE

This study aimed to characterize clinical characteristics and visual outcomes of patients with hemorrhagic choroidal detachments.

PATIENTS AND

METHODS

Single-center retrospective case series of patients with hemorrhagic choroidal detachments from January 1, 2003, to December 31, 2020 at Mayo Clinic. Patients were categorized as appositional or non-appositional based on ultra-sonography.

RESULTS

Among 39 cases with hemorrhagic choroidal detachments, 15 (38%) were appositional and 24 (62%) were non-appositional. There was a significant difference between the appositional and non-appositional groups in mean initial logMAR visual acuity (VA) (2.8 [SD = 0.20] vs 2.2 [SD = 0.78], P < .001). However, no difference was observed in final logMAR VA (1.9 [SD = 1.2] vs 1.5 [SD = 1.1], P = .30). Comparison between surgical (N = 9) versus non-surgical (N = 5) hemorrhagic appositional choroidal detachments cases revealed no differences in outcomes. Comparison between anticoagulated (N = 21) versus nonanticoagulated (N = 18) patients with hemorrhagic choroidal detachments also revealed no differences in outcomes.

CONCLUSION

Patients with appositional and nonappositional hemorrhagic choroidal detachments did not differ significantly with regards to visual outcome. Surgical intervention was not associated with improved final vision in this cohort.