Influence of serous suprachoroidal detachments on the results of trabeculectomy surgery.
We evaluated the influence of early serous choroidal detachments upon the results of trabeculotomy surgery. In 18 consecutive patients with serous choroidal detachments we found no significant difference in the intraocular pressure or number of glaucoma medicines from individually matched controls one year postoperatively. Final intraocular pressure was not correlated to the duration (p = 0.427), time of onset following surgery (p = 0.669), or size (p = 0.149) of the serous choroidal detachment. Prior to onset of the serous choroidal detachment the anterior chamber depth, bleb height, number of glaucoma medications, and intraocular pressure were statistically similar to the control group (p > 0.05). Following detachment, anterior chamber depth, and bleb height remained similar, but intraocular pressure fell from 9.4 +/- 6.5 to 4.6 +/- 4.1 mmHg (p = 0.025). Postoperative complications were similar between groups. This study indicates that serous choroidal detachments following trabeculectomy which are limited in size or duration are not associated with a worsening of long-term intraocular pressure control.
Stewart
W C
WC
Department of Ophthalmology, Medical University of South Carolina, Charleston.
Crinkley
C M
CM
D000368:Aged; D015862:Choroid Diseases / Q000209:etiology* / Q000503:physiopathology; D005260:Female; D005901:Glaucoma / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D007429:Intraocular Pressure; D008297:Male; D011183:Postoperative Complications; D014130:Trabeculectomy / Q000009:adverse effects*; D016896:Treatment Outcome; D014792:Visual Acuity