How is choroidal hemorrhage and effusion treated following Sturge-Weber syndrome (SWS) glaucoma surgery?

Updated: Dec 26, 2018
  • Author: Masanori Takeoka, MD; Chief Editor: George I Jallo, MD  more...
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Answer

Sudden change in the IOP gradient when the eye is opened may result in expulsive choroidal hemorrhage from the choroidal hemangioma. Treatment involves rapid closure of all scleral incisions, with restoration of IOP. Transscleral drainage of suprachoroidal blood may also be indicated.

The intraoperative formation of a massive choroidal effusion without hemorrhage occurs frequently during filtration surgery in patients with SWS. Increased episcleral venous pressure in these patients is assumed to cause a similar increase in the venous pressure within the ciliary body and choroid.


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