Analysis of the Causes and Management of Choroidal Detachment after Glaucoma Surgery

Purpose: To summarize and analyze the clinical features and management of postoperative choroidal detachment in glaucoma. Methods: Ten cases of choroidal detachment that occurred after glaucoma surgery were collected from March 2023 to February 2024 in the hospital. Their clinical characteristics and treatment effects were observed and their causes were analyzed. Results: After the operations, the eyes with choroidal detachment after glaucoma surgery had 2 cases of true microphthalmos, 6 cases of advanced glaucoma, and 2 cases of glaucoma secondary to vitreoretinal surgery. The postoperative manifestations were persistent shallow anterior chamber, the formation of anterior chamber, and then suddenly became shallow or disappeared. Meanwhile, the intraocular pressure was lower than 6 mmHg. Ultrasound and funduscopic examination showed that the choroid and retina were partially elevated, and the choroidal detachment recovered after treatment. Conclusion: Choroidal detachment is one of the common postoperative complications in glaucoma, especially in some special types of refractory glaucoma. Adequate perioperative management before surgery, cautious and delicate operation during surgery, and close observation and treatment after surgery can obviously decrease the occurrence and damage.