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Abstract #9907 Published in IGR 5-3

Hypotony and choroidal effusion induced by topical timolol and dorzolamide in patients with previous glaucoma drainage device implantation

Callahan C; Ayyala RS
Ophthalmic Surgery Lasers and Imaging 2003; 34: 467-469


Three patients with glaucoma drainage devices and one patient who had trabeculectomy with mitomycin C were treated with a combination of topical timolol 0.5% and dorzolamide hydrochloride in the late postoperative period to decrease the intraocular pressure to the target level. All four patients developed ciliochoroidal effusions with hypotony that resolved with the discontinuation of the topical medication. Aqueous suppressants can induce ciliochoroidal effusions and hypotony in the late postoperative phase in some patients with glaucoma drainage devices. Discontinuation of the medication usually results in the resolution of the choroidal effusions.

Dr. R.S. Ayyala, Glaucoma Service, Department of Ophthalmology, SL-69 Tulane University Medical Center, 1430 Tulane Avenue, New Orleans, LA 70112, USA


Classification:

11.3.4 Betablocker (Part of: 11 Medical treatment > 11.3 Adrenergic drugs)
11.5.2 Topical (Part of: 11 Medical treatment > 11.5 Carbonic anhydrase inhibitors)
12.8.2 With tube implant or other drainage devices (Part of: 12 Surgical treatment > 12.8 Filtering surgery)



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