Combined Anterior and Posterior Segment Surgery for Choroidal Detachment after Glaucoma Surgery
Klinik und Poliklinik für Augenheilkunde, Universitätsklinikum Hamburg-Eppendorf, Hamburg
Choroidal effusion, choroidal detachment and delayed suprachoroidal hemorrhage are rare complications after glaucoma surgery that can lead to impaired visual function or even blindness. On the basis of our own experience and the literature, this report examines the incidence and disposing factors of choroidal detachment after glaucoma surgery as well as the results of surgical intervention.
Patients and Methods: Over a period of 8 years, a total of 16 patients underwent surgical intervention for high-graded and progredient choroidal detachment. After punction of the choroidea infusion fluid is filled into the anterior chamber. Pars-plana-vitrectomy with / without endotamponade is performed additionally in selected cases after achieving a surgical re-attachment of the choroid.
Results: The surgical intervention (video) results usually already intraoperatively in an almost complete re-attachment of the choroid. Small peripheral choroidal detachments in the periphery including circumscribed retinal elevations usually regress within few days after the operation but require careful observation because of the risk of retinal complications. The anatomic restoration of the retina and the choroid usually leads to an early and lasting functional improvement.
Discussion: Special care should be taken with glaucoma surgery in hyperopic and aph
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