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Abstract #19201 Published in IGR 3-1
A case of suprachoroidal hemorrhage following trabeculectomy
Yamada S; Sugita M; Ohno SJapanese Journal of Clinical Ophthalmology 2001; 55: 365-368
A 59-year-old man was referred for glaucoma in his right eye. He had had myopia of -7.5 diopters in both eyes since childhood. His left eye had become blind due to total retinal detachment at the age of 35 years. He had a history of cataract surgery and trabeculectomy in his right eye. After medication had failed to control the intraocular pressure (IOP) below 48 mmHg, the authors performed trabeculectomy with adjunctive mitomycin C on his right eye. On Day 2 after surgery, the anterior chamber was well formed with an IOP of 3 mmHg. Choroidal detachment was present in the nasal periphery. It developed into total and bullous choroidal detachment. Magnetic resonance imaging (MRI) showed the presence of suprachoroidal hematoma on Day 19 after surgery. Thereafter, IOP remained at about 15 mmHg. The suprachoroidal hematoma disappeared spontaneously on Day 50 after surgery. Corrected visual acuity improved from presurgical hand motion to 0.4. It appeared that expulsive hemorrhage induced the suprachoroidal hematoma due to risk factors including elevated IOP at the time of surgery, aphakia, myopia, aging, and postoperative hypotony. LA: Japanese
Dr S. Yamada, Department of Ophthalmology, Yokohama City University School of Medicine, 3-9 Fukuura, Kanazawa-ku, Yokohama-shi 236-0004, Japan
Classification:
12.8.11 Complications, endophthalmitis (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
