Phacoemulsification in Eyes With Posttrabeculectomy Choroidal Detachment
Artemios S Kandarakis1, George A Kontadakis1, Stylianos A Kandarakis2
11st Department, Opthalmiatreio Eye Hospital of Athens, Athens, Greece.
Journal of Glaucoma
|November 9, 2017
Summary
Choroidal detachment after trabeculectomy resolved in four patients following cataract surgery. This suggests that elevated intraocular pressure from phacoemulsification may help resolve choroidal detachment.
Area of Science:
- Ophthalmology
- Surgical Innovation
Background:
- Trabeculectomy is a common glaucoma surgery.
- Choroidal detachment is a potential complication following ocular surgery.
Observation:
- Four patients developed choroidal detachment post-trabeculectomy, with low intraocular pressure (IOP).
- Initial treatment with cycloplegia and steroids was ineffective.
- Cataract surgery (phacoemulsification with intraocular lens implantation) was performed on all patients.
Findings:
- Choroidal detachment resolved completely in all patients within one month after cataract surgery.
- Post-cataract surgery, IOP increased to 6-8 mmHg and remained stable.
- Ultrasound biomicroscopy confirmed resolution of choroidal detachment.
Implications:
- Phacoemulsification and subsequent IOP elevation may be an effective treatment for post-trabeculectomy choroidal detachment.
- Cataract surgery is safe and effective in patients with prior choroidal detachment.
- Understanding IOP dynamics post-surgery is crucial for managing complications.
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