case_images: PMC10997957_01
case_images: PMC10997957_02
case_images: PMC10997957_03
case_images: Preoperative ultrasound (USG) and fundus camera photograph of DSCH; (A) Appositional (kissing) choroidal on USG; (B) Fundus photo of DSCH
case_images: jocgp-18-23-g001.jpg
case_images: PMC10997957_03_jocgp-18-23-g001.jpg
case_images: F1
case_images: On postoperative day 1, the patient had DSCH (Fig. 1).
case_images: Intraoperative photographs of surgical drainage of DSCH using 23 gauge trocars along with exploration of trabeculectomy site. (A) 23 gauge trocars inserted 7 mm from the limbus at the site of maximum elevation predetermined on USG; (B) Gush of brown-colored blood seen after insertion of trocars; (C) Arrow indicates gape of scleral flap at trabeculectomy site due to loose sutures; (D) Arrow indicates scleral flap sutures tightened to correct the gape in scleral flap causing hypotony
case_images: jocgp-18-23-g002.jpg
case_images: PMC10997957_03_jocgp-18-23-g002.jpg
case_images: F2
case_images: In view of DSCH being appositional, the patient was taken up for drainage within 48 hours of (Figs 2A and B), along with an exploration of the trabeculectomy site to determine the cause of hypotony (Figs 2C). Loose sutures at the scleral flap were corrected by replacing them with fresh, tighter sutures (Figs 2D). The trocars were inserted at 7 mm from the limbus in the quadrant with a maximum height of elevation at an acute angle of 15-20  and a gush of brown colored blood was seen (Figs 2A and B). Anterior chamber maintainer was used to maintain the chamber during the procedure (Fig. 2A).
case_images: Postoperative ultrasound (USG) and fundus camera photographs of DSCH. (A) Decrease in height of choroidal detachment on USG immediately postsurgical drainage of DSCH; (B) Fundus photo of resolved DSCH
case_images: jocgp-18-23-g003.jpg
case_images: PMC10997957_03_jocgp-18-23-g003.jpg
case_images: F3
case_images: Ultrasound performed after drainage of DSCH showed a decrease in the height of detachment (Fig. 3A). Over 6 months, IOP was documented to be 16 mm Hg on 1 AGM with BCVA of 6/36 and complete resolution of DSCH (Table 1) (Fig. 3B).