Serous Retinal Detachment Following Trabeculectomy in a Case of Sturge-Weber Syndrome with Glaucoma. |
Ji Hong Bae, Heyon Deuck Cho, Sung Chil Woo |
Department of Ophthalmology, College of Medicine, Gyeongsang National University, Jinju, Korea. |
녹내장이 동반된 Sturge-Weber 증후군 환자에서 섬유주절제술 후에 발생한 망막박리 1예 |
배지홍(Ji Hong Bae),조현득(Heyon Deuck Cho),우성철(Sung Chil Woo) |
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Abstract |
A trabeculectomy with mitomycin (0.2mg/ml, 5 minutes) was performed in a 28-year-old man with glaucoma associated with Sturge-Weber syndrome. Two prophylactic posterior sclerotomies were made in an attempt to prevent sudden uveal effusion. The surgery was uncomplicated. On the first postoperative day, however, the anterior chamber became shallow with hypotony (<4mmHg). A 360 degrees choroidal detachment with serous retinal detachment encroaching upon macula was recognized. On the third postoperative day, evacuation of the suprachoroidal space was performed. However, the eye remained hypotonus and choroidal expansion with overlying retinal detachment occured again. The bleb decreased in size with time and the intraocular pressures(IOPs) rose gradually (10-14mmHg). The choroidal and retinal detachment resolved spontaneously with the increased IOP in 40 days. Twenty seven monthes after trabeculectomy, he has a small localized. bleb. The IOP is maintained in the high-teens(15-20mmHg) without any medication. |
Key Words:
Sturge-Weber syndrome;trabeculectomy;choroidal and retinal detachment;prophylactic posterior sclerotomy |
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