Management of Serous and Hemorrhagic Choroidal Detachments and Complications

Williams, Katherine J.; Scholle, Tahira; Leung, Ella H.

doi:10.1097/iio.0000000000000436

Cited by 1 publication

(2 citation statements)

References 46 publications

(169 reference statements)

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“…For choroidal effusions that persist or progress despite medical or office-based procedural interventions, surgical drainage should be considered. [51,55] Large size of the effusion, flattening of a filtering bleb after trabeculectomy, the presence of a shallow or flat anterior chamber, and high-risk features for the development of suprachoroidal haemorrhage are factors that often dictate a more aggressive approach with earlier surgical intervention. The need for surgical drainage in the management of choroidal effusions is infrequent.…”

Section: Managementmentioning

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: Managementmentioning

confidence: 99%

“…The majority of choroidal effusions resolve with observation or medical management alone. Conservative treatment usually involves topical and/or systemic corticosteroids to minimize inflammation and topical cycloplegic eye drops to rotate the lens-iris diaphragm posteriorly [51,52 ▪ ,53 ▪ ].…”

Section: Managementmentioning

confidence: 99%