Abstract
Accumulation of serous fluid in the suprachoroidal space, known as uveal effusion,
and choroidal or suprachoroidal haemorrhage (SCH) following rupture of ciliary blood
vessels are considered rare, but serious, events with extremely poor functional prognosis.
As a result, uveal effusion, and expulsive suprachoroidal haemorrhage in particular,
continue to be considered as more or less fatal complications. However, clinical experience
demonstrates that both clinical entities can be managed by conservative as well as
surgical strategies, depending on their severity and localisation, with sometimes
surprisingly favourable visual outcome. In addition to prognostic factors, timely
recognition and prompt, if possible preventive, acute care, as well as carefully considered
timing of adequate surgical measures taking advantage of the specific characteristics
of the choroidal tissue, are crucial to treatment success. Along with technical advances
in the field of vitreoretinal
surgery, numerous variants of therapeutic approaches to the treatment of choroidal
effusion and suprachoroidal haemorrhage have been proposed to date. This review presents
some of the most important surgical techniques and strategies in the field.
Key words
choroid - uveal effusion - uveal effusion syndrome - suprachoroidal haemorrhage