Ultrasound biomicroscopy in the diagnosis of supraciliochoroidal fluid after trabeculectomy

PURPOSE: 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 biomic...

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Bibliographic Details
Published in:American journal of ophthalmology 1999-09, Vol.128 (3), p.372-375
Main Authors: Martı́nez-Belló, Carlos, Capeáns, Carmen, Sánchez-Salorio, Manuel
Format: Article
Language:English
Subjects:
Anterior Chamber - diagnostic imaging
Biological and medical sciences
Choroid - diagnostic imaging
Choroid - pathology
Ciliary Body - diagnostic imaging
Ciliary Body - pathology
Exudates and Transudates - diagnostic imaging
Glaucoma, Open-Angle - diagnostic imaging
Glaucoma, Open-Angle - surgery
Humans
Intraocular Pressure
Medical sciences
Prospective Studies
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the eye and orbit
Trabeculectomy - adverse effects
Ultrasonography
Uveal Diseases - diagnostic imaging
Uveal Diseases - etiology
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Summary:PURPOSE: 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. CONCLUSION: 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.
ISSN:0002-9394
1879-1891
DOI:10.1016/S0002-9394(99)00118-X