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PURPOSE: To report a case of delayed choroidal detachment after treatment with topical latanoprost. METHODS: Interventional case report. Five years after trabeculectomy in a 91-year-old female, holmium laser thermal sclerostomy was performed, and a year later, the patient was started on latanoprost 0.005% every 24 hours and hydrochloride dorzolamide 2% three times daily. RESULTS: Choroidal detachments developed 2.5 years after the sclerostomy; these resolved after discontinuation of the latanoprost and hydrochloride dorzolamide. Subsequently, the patient inadvertently restarted latanoprost. Again, it was stopped, with resolution of the choroidal detachments. CONCLUSION: Topical latanoprost may lead to choroidal detachments and hypotony.
Dr M.L. Marques Pereira, Department of Ophthalmology, University of Iowa Hospital, Ames, IA, USA
11.4 Prostaglandins (Part of: 11 Medical treatment)