Ultrasound biomicroscopy in the diagnosis of supraciliochoroidal fluid after trabeculectomy.
OBJECTIVE
To report supraciliochoroidal effusion after trabeculectomy with the use of ultrasound biomicroscopy.


METHODS
In a prospective study, 28 eyes of 19 patients with primary open-angle glaucoma that underwent trabeculectomy were evaluated preoperatively and postoperatively by ultrasound biomicroscopy.


RESULTS
Four eyes showed a hypoechogenic suprachoroidal space that remained stable for 6 months postoperatively. These four eyes had intraocular pressures of 11 mm Hg or less on no antiglaucoma medications and without signs of choroidal detachment.


CONCLUSIONS
Ultrasound biomicroscopy proved to be a useful method of detecting, after trabeculectomy, supraciliochoroidal fluid without clinically detectable choroidal detachment. This fluid may signify an iatrogenic cyclodialysis during surgery or, less likely, subclinical ciliochoroidal detachment.
Martínez-Belló
C
C
Departamento de Oftalmología Complejo Hospitalario Universitario de Santiago, Universidad de Santiago de Compostela, Spain. carlosbellousc@hotmail.com
Capeáns
C
C
Sánchez-Salorio
M
M
D000867:Anterior Chamber / Q000000981:diagnostic imaging*; D002829:Choroid / Q000000981:diagnostic imaging* / Q000473:pathology; D002924:Ciliary Body / Q000000981:diagnostic imaging* / Q000473:pathology; D005122:Exudates and Transudates / Q000000981:diagnostic imaging; D005902:Glaucoma, Open-Angle / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D007429:Intraocular Pressure; D011446:Prospective Studies; D014130:Trabeculectomy / Q000009:adverse effects*; D014463:Ultrasonography; D014603:Uveal Diseases / Q000000981:diagnostic imaging* / Q000209:etiology