Choroidal Detachment With Retinal Detachment Following Trabeculectomy: A Complex Case and Management Insights

A 62-year-old female patient presented with acute angle-closure glaucoma with cataracts in the right eye and chronic angle-closure glaucoma with cataracts in the left eye. She underwent combined cataract and glaucoma surgery (phacoemulsification + intraocular lens implantation + trabeculectomy + peripheral iridectomy) in both eyes. Two months after the operation, secondary choroidal detachment (CD) occurred in the left eye, which was treated with glucocorticoids. Nine months after the operation, CD accompanied by retinal detachment (RD) developed in the same eye. After multiple surgeries combined with glucocorticoid therapy, the condition followed a complex and variable course and ultimately resolved in reattachment. This article reviews the diagnosis and treatment process of this patient and summarizes the experiences, insights, and implications gained from this case.