This 81YO female presented with counting fingers vision in her right eye 3 weeks following XEN Gel stent glaucoma surgery. Intraocular pressure was 11 mmHg.
Optos color RG imaging shows nasal and temporal choroidal detachments extending toward, but not into, the macula. Observation was recommended, and we expect the choroidals to resolve as she extends postoperatively.
Learning Points:
A choroidal detachment is defined by the abnormal presence of fluid or blood in the suprachoroidal space. Serous choroidal detachments, also known as choroidal effusions, are a frequent complication of glaucoma surgery. Several causative mechanisms are believed to be at play: hypotony allows fluid to accumulate in the suprachoroidal space, and inflammation increases the choroidal permeability. The detached ciliary body may also produce less aqueous humor, thus creating a self-perpetuating cycle. Often, observation is sufficient, but topical steroids and cycloplegics can help expedite resolution.
