Abstract:
PURPOSE:The purpose of the study was to define a newly recognized complication after glaucoma surgery and to recommend a therapeutic regimen. METHODS:Eighteen patients diagnosed initially as having aqueous misdirection after glaucoma surgery, but who subsequently were found by ultrasonography to have an annular peripheral choroidal detachment that resulted in secondary angle closure glaucoma, were studied. Ten of these patients were treated with topical cycloplegics and corticosteroids, and 8 were treated with drainage of suprachoroidal fluid. Outcomes of these two treatment methods were compared. RESULTS:Annular peripheral choroidal detachment reliably was diagnosed with ultrasonography. Of the variables studied, time elapsed before resolution of the annular peripheral choroidal detachment was noted to be statistically significant (P < 0.00005). Immediate resolution followed drainage of suprachoroidal fluid, whereas a mean of 19.6 days was required for resolution after medical therapy. CONCLUSIONS:Annular peripheral choroidal detachment should be considered in the differential diagnosis of a flat or shallow anterior chamber with normal or high intraocular pressure after glaucoma surgery. The diagnosis of annular peripheral choroidal detachment can be confirmed most reliably by ultrasonography. Medical therapy is as effective as is surgery, although a significantly longer time to resolution is required.
journal_name
Ophthalmologyjournal_title
Ophthalmologyauthors
Dugel PU,Heuer DK,Thach AB,Baerveldt G,Lee PP,Lloyd MA,Minckler DS,Green RLdoi
10.1016/s0161-6420(97)30294-2subject
Has Abstractpub_date
1997-03-01 00:00:00pages
439-44issue
3eissn
0161-6420issn
1549-4713pii
S0161-6420(97)30294-2journal_volume
104pub_type
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