Ultrasonic localization of choroidal detachment associated with flat anterior chamber

In postoperative patients with flat anterior chambers and small pupils or dense media, A-scan and B-scan ultrasonography can be useful tools in establishing the proper etiologic diagnosis. By searching for the presence of a choroidal detachment and determining its full location, complete drainage of the suprachoroidal fluid can be accomplished satisfactorily should this form of surgical intervention become necessary. If sufficient evidence of a choroidal detachment is not found, then therapy can be more assuredly directed at relief of pupillary block or reduction of excessive fistulization, other causes of a flat chamber.