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Abstract #5516 Published in IGR 1-2
A bilateral case of uveal effusion following trabeculectomy
Naruse M; Shimada H; Haruyama M; Asayama N; Kawamura A; Yuzawa MJapanese Journal of Clinical Ophthalmology 1999; 53: 1265-1268
A 66-year-old female had received surgery for cataract and chronic closed-angle glaucoma by phacoemulsification aspiration, intraocular lens implantation and trabeculectomy in both eyes. Bilateral choroidal detachment was detected 3 weeks later. She was referred to us for reccurrence of choroidal detachment after drainage of subchoroidal fulid 6 months after the initial surgery. Retinal and choroidal detachment disappeared following sclerectomy in both eyes. Both eyes had normal axial length and were not nanophthalmic. The surgically obtained scleral tissue showed thickening, suggesting that consequent abnormality in the transscleral protein transport system was causatively related to the uveal effusion. Indocyanine green angiography showed hyperpermeability of choroidal vessels which disappeared after sclerectomy. This case illustrates that uveal effusion is a liability following trabeculectomy in eyes with scleral abnormality and that scleretomy may be effective for prolonged postsurgical uveal effusion.
M. Naruse, Department of Ophthalmology, Nihon University Surugadai Hospital, 1-8-13 Surugadai Kanda Chiyoda-ku, Tokyo 101-8309; Japan
Classification:
12.8.11 Complications, endophthalmitis (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
