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Related Experiment Videos

Chronic and recurrent choroidal detachment after glaucoma filtering surgery.

S J Berke, A R Bellows, B J Shingleton

    Ophthalmology
    |February 1, 1987
    PubMed
    Summary

    Glaucoma surgery can cause chronic choroidal detachments. Cataract extraction with fluid drainage resolved detachments in six eyes, suggesting a combined treatment approach.

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    Area of Science:

    • Ophthalmology
    • Surgical Complications
    • Glaucoma Management

    Background:

    • Glaucoma filtration surgery can lead to serious complications.
    • Chronic and recurrent choroidal detachments are rare but significant post-surgical issues.

    Purpose of the Study:

    • To identify factors contributing to chronic and recurrent choroidal detachments after glaucoma surgery.
    • To evaluate treatment outcomes for these detachments.

    Main Methods:

    • Retrospective review of 14 eyes (13 patients) over 9 years with chronic/recurrent choroidal detachments post-glaucoma surgery.
    • Analysis of patient demographics, medical history, ocular factors, and surgical procedures.
    • Documentation of interventions including suprachoroidal fluid drainage and cataract extraction.

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    Main Results:

    • Mean patient age was 68.8 years; associated factors included hypertension, hyperopia, and aqueous suppressant use.
    • 34 suprachoroidal fluid drainage procedures were performed on 14 eyes.
    • Six eyes with visually significant cataracts experienced complete resolution after combined cataract extraction and choroidal tap.

    Conclusions:

    • Chronic/recurrent choroidal detachments are linked to specific patient and surgical factors.
    • Intense ocular inflammation treatment, medication review, and combined cataract extraction with choroidal tap are recommended.
    • Cataract extraction may resolve certain chronic or recurrent choroidal detachments.