medigraphic.com
ISSN 1561-3070 (Electronic)

2018, Number 2

<< Back Next >>

Rev Cub Oftal 2018; 31 (2)

Late choroidal detachment after cataract surgery with phacoemulsification in glaucoma patients

Miqueli RM, Coba PMJ, Mier AML, Santana AE, Andujar CP, Reguero I

Language: Spanish
References: 14
Page: 1-8
PDF size: 297.27 Kb.


ABSTRACT

Choroidal detachment is a cause of and predisposing factor for marked ocular hypotony. A description is provided of two patients undergoing glaucoma surgery by simple trabeculectomy technique, with more than five years of evolution, under drug treatment with 0.5% timolol collyrium twice daily, intervened for senile cataract with phacoemulsification technique, without any intra- or immediate post-operative complications, who presented with sudden visual acuity reduction two months after surgery, due to choroidal detachment without anterior chamber loss, associated to ocular hypotony and maculopathy. The possible causes are analyzed and appropriate treatment is indicated. Satisfactory evolution is finally achieved.


REFERENCES

  1. Rashwani Aladdin M. Glaucoma surgery. C 25 Management of a flat chamber with choroidal effusion: an approach to the diagnosis of early postoperative complications. Graham e Trope;135-238.

  2. Budenz DI, Schart K, Gedde SJ. Occult hypotony maculopathy diagnosed with optical coherence tomography. Arch Ophthalmol. 2005;123:113-4.

  3. American Academy of Ophthalmology. Glaucoma Panel. Preferred Practice Pattern@® Guidelines. Primary Open-Angle Glaucoma. San Francisco, CA: American Academy of Ophthalmology; 2014 [citado 12 de junio de 2018]. Disponible en: http://www.aao.org/ppp

  4. Brubaker RF, Pederson JE. Ciliochoroidal detachment. Surv Ophthalmol. 1983;27:281-9.

  5. Callahan C, Ayyala RS. Hypotony and choroidal effusion induced by topical timolol and dorzolamide in patients with previous glaucoma drainage device implantation. Ophthalmic Surg Lasers Imaging. 2003;34:467-9.

  6. Fernández L, Piloto I. Glaucoma: temas quirúrgicos. La Habana: Editorial Ciencias Médicas; 2013. p. 47-50.

  7. Bojadós S, Vela JI, Roselló N, Díaz J, Buil JA. Desprendimiento coroideo asociado a hipotonía ocular espontánea tardía. Arch Soc Esp Oftalmol. 2007;82:381-41.

  8. Boyd S, Wu L. Manejo de complicaciones en cirugía ocular. Jaypee-Highlights Medical Publishers; 2009. p. 63-5.

  9. Davani S, Delbosc B, Royer B, Cantelip JP. Choroidal detachment induced by Dorzolamide 20 years after cataract surgery. Br J Ophthalmol. 2002; 86:1457-8.

  10. Fannin LA, Schiffman JC, Budenz DL. Risk factors for hypotony maculopathy. Ophthalmology. 2003;110:1185-91.

  11. Mantel J, Schipper I. A simple treatment for chronic postoperative hypotony of unknown etiology: injection of balanced salt solution into the anterior chamber. Ophthalmic Surg Laser. 2001;32:250-4.

  12. Aminlari A, Callahan CE. Medical laser and surgical management of inadvertent cyclodyalisis cleft with hypotony. Arch Ophthalmol. 2004;122:399-404.

  13. Arzabe CW. Roy FH. Manual de Glaucoma Clínica y Tratamiento. Editorial Medrounds Publications; 2011.

  14. Arévalo FJ, Arias JD. Glaucoma. EE. UU.: American Academy of Ophthalmology; 2010. p. 1-8.




2020     |     www.medigraphic.com