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A 49-year-old female presented with progressive loss of vision in her left eye. She had been operated for bilateral congenital glaucoma at the age of 3 years. Her right eye was phthisic. Her left cornea was opaque with the visual acuity of hand motion. The intraocular pressure (IOP) was 42mmHg. The left eye was treated by uneventful trabeculectomy with intraoperative mitomycin C. After normalization of IOP, she developed suprachoroidal hemorrhage with ocular pain and vomiting. Retinal detachment and choroidal hemorrhage were also present. We performed suturing of corneal prosthesis, vitrectomy and silicone oil tamponade. Massive proliferative lesions were detected during surgery. This case illustrates the need for early intervention by vitrectomy when suprachoroidal hemorrhage develops after trabeculectomy in an eye with hazy media.
Y. Kiuchi, Department of Ophthalmology, Osaka National Hospital, 2-1-14 Hoenzaka, Chuo-ku, Osaka-shi 540-0006; Japan
12.8.11 Complications, endophthalmitis (Part of: 12 Surgical treatment > 12.8 Filtering surgery)