Phacoemulsification in Eyes With Post-Trabeculectomy Choroidal Detachment

Kandarakis, Artemios

Phacoemulsification in Eyes With Post-Trabeculectomy Choroidal Detachment

Friday, April 25, 2014

KIOSKS (Boston Convention and Exhibition Center)

Artemios Kandarakis, MD, PhD, Ophthalmiatreio Eye Hospital of Athens, Athens, Greece

Georgios A. Kontadakis, MD, MSc, University of Crete, Heraklion Crete, Greece

Chrysostomos Dimitriou, MD, Ophthalmiatreio Eye Hospital of Athens, Athens, Greece

Stelios Kandarakis, MD, Ophthalmiatreio Eye Hospital of Athens, Athens, Greece

Iordanis Chatziangelides, MD, Ophthalmiatreio Eye Hospital of Athens, Athens, Greece

Dimitrios Karagiannis, MD, PhD, Ophthalmiatreio Eye Hospital of Athens, Athens, Greece

Narrative Responses:

Purpose
To evaluate the potential for safe cataract extraction in eyes with coexisting chronic choroidal detachment after trabeculectomy.

Methods
Four patients developed choroidal detachment within three months after trabeculectomy, documented with b-scan ultrasonography (BUS) and ultrasound biomicroscopy (UBM). Intraocular pressure (IOP) of the patients ranged from 3 to 5 mmHg. Patients were treated with cycloplegia and steroids without complete resolution of detachment. Twelve months later all patients had developed visually significant cataracts and underwent phacoemulsification and intraocular lens implantation. Procedures were uncomplicated.

Results
Visual acuity ranged 0.1 to 0 LogMAR in the first postoperative month. IOP demonstrated an increase of 6 to 8 mmHg which was maintained up to 1 year postoperatively. BUS and UBM in the first postoperative month demonstrated a complete resolution of choroidal detachment in all our cases.

Conclusion
These patients with choroidal detachment underwent safe and effective phacoemulcification procedures. Additionally, choroidal detachment resolved in all our patients, possibly due to intraoperative and postoperative IOP elevation.