Delayed suprachoroidal haemorrhage following trabeculectomy bleb needling

Pathological study of eyes enucleated within hours of the haemorrhage occurring have suggested the cause to be rupture of necrotic posterior ciliary arteries. 3 A number of risk factors for delayed suprachoroidal haemorrhage have been reported including aphakia, high myopia, a large peroperative reduction in IOP, postoperative hypotony, and systemic vascular disease. 3 4 The patient reported here was myopic, aphakic, had ischaemic heart disease and additionally was on aspirin. Two cases of haemorrhagic choroidal detachments have been reported 1 2 after bleb needling with adjunctive mitomycin C. Precise details of the individual cases were not supplied, however, so it is not clear if these patients had predisposing risk factors or the result of their final visual outcome.