Abstract

Suprachoroidal haemorrhage (SCH) is a devastating complication that can occur following trauma, during intraocular surgery and in the post-operative period. SCH poses a quandary regarding its management. We present three unique cases managed at different time intervals using non-valved trocar. Case 1 is a post-trabeculectomy SCH with pseudophakia who underwent drainage on post-operative day 5. Case 2 is a post-trabeculectomy SCH with total cataract and shallow anterior chamber who underwent drainage on post-operative day 7. Case 3 is a post-traumatic SCH with aphakia who underwent drainage on day 20. Indications of suprachoroidal hemorrhage include retinal apposition, uncontrolled IOP, Flat anterior chamber and associated rhegmatogenous retinal detachment. Timing of SCH drainage is usually 7-14 days post presentation but may be done earlier depending on the intervention. Trocar based drainage is safe and effective in these patients and a viable alternative to scleral cut-down.