Delayed suprachoroidal hemorrhage during anterior chamber decompression one day following tube shunt implantation

Suprachoroidal hemorrhage (SCH) is a rare but potentially devastating condition that can occur during or following ocular surgery and can lead to severe visual impairment. Glaucoma surgery carries the highest rate of SCH, especially delayed suprachoroidal hemorrhage (DSCH). In this case report, we describe an elderly female with severe primary open-angle glaucoma (POAG) who developed a SCH while performing an anterior chamber (AC) decompression at the slit lamp due to high IOP 1 day following glaucoma tube shunt implantation, and who was treated medically with good visual outcomes. We are not aware of any guidelines regarding the best management in such a clinically complex situation. Our good outcome may thus suggest that conservative treatment with high IOP maintenance may be an appropriate management option in a case of limited and non-appositional DSCH even in cases of severe glaucoma.