Treating Choroidal Effusions After Glaucoma Surgery

  • Jody Piltz-Seymour


Serous choroidal detachments that develop after glaucoma surgery can be an annoyance to both patient and doctor, but most cases resolve spontaneously without permanent sequelae. The use of antimetabolites, however, has increased the incidence of persistent choroidals, complicating the postoperative course with prolonged visual compromise, shallow anterior chambers, cataract formation, and bleb failure. The best “treatment” for choroidal detachments is prevention. Prevention avoids the potential roller coaster of choroidalrelated complications, and every effort should be made throughout the postoperative period to avoid slipping down the road to choroidals. Once choroidals develop, careful consideration should be given to deciding when conservative treatment is indicated versus when the situation warrants surgical drainage of the serous choroidals.


Anterior Chamber Glaucoma Surgery Choroidal Detachment Scleral Flap Shallow Anterior Chamber 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. 1.
    Bellows AR, Chaylack LT, Hutchinson BT. Choroidal detachment. Clinical manifestation, therapy and mechanism of formation. Ophthalmology. 1981;88:1107–1115.PubMedGoogle Scholar
  2. 2.
    Brubaker RF, Pederson JE. Ciliochoroidal detachment. Surv Ophthalmol. 1983;27:281–289.CrossRefPubMedGoogle Scholar
  3. 3.
    Callahan C, Ayyala RS. Hypotony and choroidal effusion induced by topical timolol and dorzolamide in patients with previous glaucoma drainage device implantation. Ophthalmic Surg Lasers Imaging. 2003;34:467–469.PubMedGoogle Scholar
  4. 4.
    Davani S, Delbosc B, Royer B, et al. Choroidal detachment induced by dorzolamide 20 years after cataract surgery. Br J Ophthalmol. 2002;86:1457–1458.CrossRefPubMedGoogle Scholar
  5. 5.
    Fineman MS, Katz LJ, Wilson RP. Topical dorzolamide-induced hypotony and ciliochoroidal detachment in patients with previous filtration surgery. Arch Ophthalmol. 1996;114:1031–1032.PubMedGoogle Scholar
  6. 6.
    Geyer O, Neudorfer M, Lazar M. Recurrent choroidal detachment following timolol therapy in previously filtered eye. Acta Ophthalmol. 1992;70:702–703.Google Scholar
  7. 7.
    Pereira Marques ML, Katz LJ. Choroidal detachment after the use of topical latanoprost. Am J Ophthalmol. 2001;132:928–929.CrossRefGoogle Scholar
  8. 8.
    Sharma T, Salmon JF. Hypotony and choroidal detachment as a complication of topical combined timolol and dorzolamide. J Ocul Pharmacol Ther. 2007;23:202–205.CrossRefPubMedGoogle Scholar
  9. 9.
    Vela MA, Campbell DG. Hypotony and ciliochoroidal detachment following pharmacologic aqueous suppressant therapy in previously filtered patients. Ophthalmology. 1985;92:50–57.PubMedGoogle Scholar
  10. 10.
    Sugimoto K, Ito K, Edaki K, et al. Supraciliochoroidal fluid at an early stage after trabeculectomy. Nippon Ganka Gakkai Zasshi. 2001;105:766–770.PubMedGoogle Scholar
  11. 11.
    Panday VA, Rhee DJ. Review of sulfonamide-induced acute myopia and acute bilateral angle-closure glaucoma. Compr Ophthalmol Update. 2007;8:271–276.PubMedGoogle Scholar
  12. 12.
    Banta JT, Hoffman K, Budenz DL, et al. Presumed topiramate-induced bilateral acute angle-closure glaucoma. Am J Ophthalmol. 2001;132:112–114.CrossRefPubMedGoogle Scholar
  13. 13.
    Burney EN, Quigley HA, Robin AL. Hypotony and choroidal detachment as late complications of trabeculectomy. Am J Ophthalmol. 1987;103:685–688.PubMedGoogle Scholar
  14. 14.
    Fisher YL, Turtz AI, Gold M, et al. Use of sodium hyaluronate in reformation and reconstruction of the persistent flat anterior chamber in the presence of severe hypotony. Ophthalmic Surg. 1982;13:819–821.PubMedGoogle Scholar
  15. 15.
    Mills K. Trabeculectomy: a retrospective long-term follow-up of 444 cases. Br J Ophthalmol. 1981;65:790–795.CrossRefPubMedGoogle Scholar
  16. 16.
    Shin DH. Management of flat anterior chamber with hypotony after glaucoma surgery. Glaucoma. 1982;4:193–197.Google Scholar
  17. 17.
    WuDunn D, Ryser D, Cantor LB. Surgical drainage of choroidal effusions following glaucoma surgery. J Glaucoma. 2005;14: 103–108.CrossRefPubMedGoogle Scholar
  18. 18.
    Altan C, Azturker C, Bayraktar S, et al. Post-trabeculectomy choroidal detachment: not an adverse prognostic sign for either visual acuity or surgical success. Eur J Ophthamol. 2008;18:771–777.Google Scholar
  19. 19.
    Stewart WC, Crinkley CM. Influence of serous suprachoroidal detachments on the results of trabeculectomy surgery. Acta Ophthalmol. 1994;72:309–314.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Jody Piltz-Seymour
    • 1
  1. 1.Glaucoma Care Center PC, Century Eye Care LLCBristolUSA

Personalised recommendations