Bullous choroidal detachment requiring drainage following endoscopic cyclophotocoagulation

Owaifeer, Adi Mohammed Al; AlDarrab, Abdulrahman; Owaidhah, Ohoud

doi:10.1177/2050313x211046720

Cited by 1 publication

(2 citation statements)

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“…Cyclodestructive interventions such as endoscopic cyclophotocoagulation (ECP) and transscleral cyclophotocoagulation (TSCPC; including continuous wave and micropulse transscleral cyclophotocoagulation) have historically demonstrated lower rates of postoperative choroidal effusion development compared with trabeculectomy and GDDs, ranging from 0.36 to 5.7% [16,32] and 0 to 4% [16,33,34], respectively. Following ECP, postoperative choroidal effusions have been reported infrequently and have generally been mild and transient, resolving without the need for surgery.…”

Section: Key Pointsmentioning

confidence: 99%

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Risk factors and management of choroidal effusions

Ying

Sidoti

Panarelli

2022

Current Opinion in Ophthalmology

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Purpose of reviewChoroidal effusions are recognized as a common early postoperative complication of glaucoma surgery, and although often benign, they may cause significant ocular morbidity. This article aims to summarize current research on the risk factors and management of choroidal effusions.Recent findingsGlaucoma drainage device (GDD) implantation and trabeculectomy are the most commonly performed surgeries for the management of moderate to severe glaucoma. Common postoperative complications of these procedures include hypotony and the development of choroidal effusions. Choroidal effusions have recently been associated with the oral administration of certain drugs, including select monoclonal antibody, antiseizure and bisphosphonate medications. Risk factors for effusion development include specific patient characteristics such as pseudoexfoliative glaucoma, older age and hypertension. Although choroidal effusions typically resolve with medical therapy alone, surgical intervention may be required. Various methods of surgical intervention, such as surgical drainage or GDD tube ligation, can be utilized to treat choroidal effusions when conservative management with medical treatment fails, but themselves carry alternative risks that must be considered.SummaryMinimizing the incidence and duration of hypotony following ophthalmic surgery and careful monitoring of patients starting certain oral medications are important in limiting the occurrence of choroidal effusions. Risk factors for choroidal effusions have been recently identified in the literature. A better understanding of these risk factors, as well as the outcomes of choroidal effusion management, can help to reduce the occurrence of effusions overall and minimize ocular morbidity.

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Section: Key Pointsmentioning

confidence: 99%

“…Following ECP, postoperative choroidal effusions have been reported infrequently and have generally been mild and transient, resolving without the need for surgery. However, Al Owaifeer et al [32] recently reported a case of large, bullous post-ECP choroidal effusions requiring surgical drainage.…”

Section: Risk Factors For Choroidal Effusion Developmentmentioning

confidence: 99%