Choroidal detachment-induced secondary angle-closure after trabeculectomy in patient with ocular venous congestion: A case report

Chira-adisai, Tanate; Mori, Kazuhiko; Ueno, Masaki; Sotozono, Chie; Kinoshita, Shigeru

doi:10.1016/j.ajoc.2020.100782

Cited by 2 publications

(1 citation statement)

References 17 publications

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“…14 However, secondary angle-closure glaucoma has been reported as a complication of choroidal effusion resulting from drug toxicity, glaucoma surgery, and idiopathic uveal effusion syndrome. 15–17 Choroidal effusion, which has also been called ciliochoroidal detachment, causes angle closure via anterior displacement of the lens–iris diaphragm, 18 as was seen in our patient.…”

Section: Discussionsupporting

confidence: 63%

Exudative Retinal Detachment and Ciliochoroidal Effusion in Preeclampsia

Munsell

Carducci

Eton

2023

Journal of VitreoRetinal Diseases

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Purpose: To describe a novel case of focal exudative retinal detachment, choroidal effusion, and acute angleclosure in preeclampsia. Methods: A case report is presented. Results: A 37-year-old woman at 38 weeks gestation presented with 2 weeks of progressive blurred vision in the left eye. She had a visual acuity (VA) of 20/800 and an intraocular pressure (IOP) of 26 mm Hg in the left eye (compared with 17 mm Hg in the right eye). Examination showed subretinal fluid in the posterior pole, ciliochoroidal effusion, and angle closure in the left eye without pathology in the right eye. She was found to have hypertension and proteinuria consistent with preeclampsia. The visual symptoms resolved after delivery. At the 1-month follow-up, she had a VA of 20/60 OS, symmetric IOPs, and resolved subretinal and choroidal effusions. Conclusions: To our knowledge, this is the first reported case of ciliochoroidal effusion in the setting of preeclampsia. It may aid in the diagnosis of preeclampsia’s ocular manifestations and broaden pathophysiological understanding.

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Section: Discussionsupporting

confidence: 63%

Exudative Retinal Detachment and Ciliochoroidal Effusion in Preeclampsia

Munsell

Carducci

Eton

2023

Journal of VitreoRetinal Diseases

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Prognostic Significance of Early Postoperative Choroidal Detachment in Patients with Congenital Glaucoma Operated with Nonpenetrating Deep Sclerectomy

Aldossari,

Schargel,

Aljadaan

et al. 2024

Journal of Ophthalmology

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Objective. To assess the association between early postoperative choroidal detachment and intraocular pressure (IOP) following nonpenetrating deep sclerectomy in pediatric primary congenital glaucoma. Design. Retrospective double‐arm cohort study. Setting. Single center in Saudi Arabia. Patients. Seventy‐two eyes of 45 patients were evaluated. Primary congenital glaucoma patients aged 0–3 years undergoing nonpenetrating deep sclerectomy as the first procedure from 2014 to 2021 were divided into groups with (n = 20) and without (n = 52) postoperative choroidal detachment. Main Outcome Measures. The primary outcome was complete surgical success, defined as an intraocular pressure below 21 mmHg without medication or additional surgery at 24 months. The intraocular pressure was evaluated in the first 72 hours after surgery and at 1, 3, 6, 12, 18, and 24 months. Kaplan–Meier survival analysis over 24 months was used to evaluate this outcome in both cohorts. The secondary outcome was the time to choroidal detachment resolution. Results. There was no significant difference in surgical success between choroidal detachment and nonchoroidal detachment groups (P = 0.12). Preoperative and 2‐year postoperative intraocular pressure was similar between groups, with a significant decrease in intraocular pressure from baseline (P < 0.001) in both the groups. The median time to choroidal detachment resolution was 27 days, and 90% of choroidal detachment cases were resolved with medical therapy. Conclusions. Postoperative choroidal detachment does not appear to significantly impact intraocular pressure or surgical success at 24 months following nonpenetrating deep sclerectomy for primary congenital glaucoma. Choroidal detachment typically resolves within one month of treatment. These findings suggest that transient choroidal detachment has a benign course in patients with primary congenital glaucoma undergoing deep sclerectomies.

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Choroidal detachment-induced secondary angle-closure after trabeculectomy in patient with ocular venous congestion: A case report

Cited by 2 publications

References 17 publications

Exudative Retinal Detachment and Ciliochoroidal Effusion in Preeclampsia

Exudative Retinal Detachment and Ciliochoroidal Effusion in Preeclampsia

Prognostic Significance of Early Postoperative Choroidal Detachment in Patients with Congenital Glaucoma Operated with Nonpenetrating Deep Sclerectomy

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