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Miscellaneous (41)

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Abstract #77276 Published in IGR 19-3

A case of recurrent hypotony and choroidal effusion in a patient with previous filtration surgery

Majmudar PM; Kremer F; Chadha N
American journal of ophthalmology case reports 2018; 11: 64-65

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: To report a case of recurrent hypotony and choroidal effusion following trabeculectomy. OBSERVATIONS: A 70 year old male with advanced pseudoexfoliation glaucoma in both eyes underwent trabeculectomy in the left eye. Initially intraocular pressure (IOP) was controlled without topical therapy, but dorzolamide-timolol and brimonidine were added when IOP elevated above target. Aqueous suppressant glaucoma medications were thought to cause three episodes of hypotony resolving with discontinuation of these medications. CONCLUSIONS: and Importance: Although hypotony and choroidal detachment associated with the use of aqueous suppressants is rare, it should be considered in patients with hypotony of unclear etiology following a glaucoma filtering procedure. Aqueous suppressants should be discontinued and it is recommended that the glaucoma drop regimen be switched to non-aqueous suppressants in patients with these findings.

Icahn School of Medicine at Mount Sinai/New York Eye & Ear, Eye and Vision Research Institute, Department of Ophthalmology, 1468 Madison Avenue, Annenberg 22-86, New York, NY 10029, United States.

Full article

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Classification:

12.8.11 Complications, endophthalmitis (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
9.4.11.1 Ciliary block (malignant) glaucoma (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.11 Glaucomas following intraocular surgery)

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