INFLUENCE OF SEROUS SUPRACHOROIDAL DETACHMENTS ON THE RESULTS OF TRABECULECTOMY SURGERY

We evaluated the influence of early serous choroidal detachments upon the results of trabeculectomy surgery. In 18 consecutive patients with serous choroidal detachments we found no significant difference in th e intraocular pressure or number of glaucoma medicines from individual ly matched controls one year postoperatively. Final intraocular pressu re was not correlated to the duration (p = 0.427), time of onset follo wing surgery (p = 0.669), or size (p = 0.149) of the serous choroidal detachment. Prior to onset of the serous choroidal detachment the ante rior chamber depth, bleb height, number of glaucoma medications, and i ntraocular pressure were statistically similar to the control group (p > 0.05). Following detachment, anterior chamber depth, and bleb heigh t remained similar, but intraocular pressure fell from 9.4 +/- 6.5 to 4.6 +/- 4.1 mmHg (p = 0.025). Postoperative complications were similar between groups. This study indicates that serous choroidal detachment s following trabeculectomy which are limited in size or duration are n ot associated with a worsening of long-term intraocular pressure contr ol.