Annular peripheral choroidal detachment simulating aqueous misdirection after glaucoma surgery.
OBJECTIVE
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.
Dugel
P U
PU
Department of Ophthalmology, University of Southern California School of Medicine, Los Angeles, USA.
Heuer
D K
DK
Thach
A B
AB
Baerveldt
G
G
Lee
P P
PP
Lloyd
M A
MA
Minckler
D S
DS
Green
R L
RL
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001082:Aqueous Humor; D015862:Choroid Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D004322:Drainage; D005122:Exudates and Transudates; D005260:Female; D005901:Glaucoma / Q000601:surgery*; D015812:Glaucoma, Angle-Closure / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D007429:Intraocular Pressure; D008297:Male; D008875:Middle Aged; D009184:Mydriatics / Q000627:therapeutic use; D009883:Ophthalmic Solutions; D011183:Postoperative Complications; D011239:Prednisolone / Q000627:therapeutic use; D019736:Prostheses and Implants; D014130:Trabeculectomy / Q000009:adverse effects*; D014463:Ultrasonography; D014792:Visual Acuity
D005938:Glucocorticoids; D009184:Mydriatics; D009883:Ophthalmic Solutions; D011239:Prednisolone