A 72-year-old presents with new blurred vision following glaucoma surgery. Why?
Analysis
There are a few areas of peaking of the RPE. The temporal retina is elevated. Under the retina there is compression of the choroid. A space is present between the choroid and the sclera. The patient's intraocular pressure was 1 mmHg.
The patient was diagnosed with a choroidal detachment.
In this tip's accompanying 9 min. video, we will review:
- A differential diagnosis of an elevated lesion in the back of the eye
- The difference between serous choroidal detachment/effusion and hemorrhagic choroidal detachment
- How to recognize an intraoperative choroidal hemorrhage
OCT Tip
Any patient who has a visible posterior retinal elevation post glaucoma surgery should be considered to have a serous choroidal detachment until proven otherwise.
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