We would like to respond to the comments and suggestions made by E.
S. Malbran and colleagues. Although the complication of a suprachoroidal hemorrhage
is indeed a serious one, we have fortunately found it to be extremely rare
(<1/500) when the appropriate precautions are taken. We insist that 2 weeks
preoperatively the patient stop taking any anticoagulant medications that
could increase the risk of bleeding. These include warfarin sodium, aspirin,
nonsteroidal anti-inflammatory drugs, and vitamin E tablets. Glaucoma or elevated
intraocular pressure is controlled preoperatively with the use of topical
and/or oral medications.
Davis EA, Stark WJ. In Favor of the Triple Procedure. Arch Ophthalmol. 2001;119(8):1224. doi: