Choroidal effusion during glaucoma surgery in patients with prominent episcleral vessels.


Journal Article

Rapid intraoperative choroidal effusion and flattening of the anterior chamber occurred during glaucoma filtering surgery in four young patients with prominent episcleral vessels, elevated episcleral venous pressure, and advanced open-angle glaucoma. Two of these four patients had Sturge-Weber syndrome. Intraoperative release of suprachoroidal fluid (SCF) through a posterior sclerotomy facilitated reformation of the anterior chamber and repositioning of the iris and ciliary body. Posterior sclerostomy performed prior to opening the anterior chamber minimized the above-mentioned untoward series of events. Analysis of SCF and serum demonstrated considerable differences in total protein and individual immunoglobulin levels; this appears to be a manifestation of molecular sieving at the level of the choriocapillaris. Choroidal detachment and postoperative serous retinal detachment are manifestation of this phenomenon.

Full Text

Cited Authors

  • Bellows, AR; Chylack, LT; Epstein, DL; Hutchinson, BT

Published Date

  • March 1, 1979

Published In

Volume / Issue

  • 97 / 3

Start / End Page

  • 493 - 497

PubMed ID

  • 420638

Pubmed Central ID

  • 420638

Electronic International Standard Serial Number (EISSN)

  • 1538-3601

International Standard Serial Number (ISSN)

  • 0003-9950

Digital Object Identifier (DOI)

  • 10.1001/archopht.1979.01020010243011


  • eng