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Abstract #15432 Published in IGR 1-3
Ultrasound biomicroscopy in the diagnosis of supraciliochoroidal fluid after trabeculectomy
Martinez-Bello C; Capeans C; Sanchez-Salorio MAmerican Journal of Ophthalmology 1999; 128: 372-375
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 six months postoperatively. These four eyes had intraocular pressures of 11 mmHg or less on no antiglaucoma medications and no 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.
Dr. C. Martinez-Bello, Departamento de Oftalmologia Complejo Hospitalario Universitario de Santiago, Universidad de Santiago de Compostela, Santiago de Compostela; Spain
Classification:
6.12 Ultrasonography and ultrasound biomicroscopy (Part of: 6 Clinical examination methods)
12.8.11 Complications, endophthalmitis (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
