A Case of Central Serous Chorioretinopathy after Glaucoma Filtering Surgery.

Park, Hyun Ju; Park, Jong Woon

doi:2014.55.12.1895

J Korean Ophthalmol Soc > Volume 55(12); 2014 > Article

Case Report

Journal of the Korean Ophthalmological Society 2014;55(12):1895-1900.
DOI: https://doi.org/10.3341/jkos.2014.55.12.1895 Published online December 15, 2014.

A Case of Central Serous Chorioretinopathy after Glaucoma Filtering Surgery.

Hyun Ju Park, Jong Woon Park

¹Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea.
²Department of Ophthalmology, National Health Insurance Service Ilsan Hospital, Goyang, Korea. unij143@naver.com

녹내장 여과 수술 후 발생한 중심장액성 맥락망막병증 1예

박현주^1,2⋅박종운²

Department of Ophthalmology, Yonsei University College of Medicine¹, Seoul, Korea
Department of Ophthalmology, National Health Insurance Service Ilsan Hospital², Goyang, Korea

Abstract

PURPOSE
To report a case of central serous chorioretinopathy development after glaucoma filtering surgery and spontaneous resolution in a patient with a history of central serous chorioretinopathy in the contralateral eye. CASE SUMMARY: A 46-year-old male with a history of chronic uveitis in both eyes presented with uncontrolled intraocular pressure (IOP) in his left eye. Initial IOP was 34 mm Hg in his left eye. On preoperative evaluation, central serous chorioretinopathy, which was diagnosed in another clinic 1 month prior, was observed in his right eye. Slightly pale optic disc and retinal nerve fiber layer defects were noted in the left eye. However, macular abnormalities were not observed in the left eye. Trabeculectomy and peripheral iridectomy using mitomycin C were performed in the left eye. The patient was prescribed triamcinolone 8 mg daily for 4 days to reduce the post-surgical inflammation. On postoperative day 4, IOP in the left eye was 7 mm Hg and newly developed central serous chorioretinopathy was noted. On follow-up, IOP was maintained at 7-10 mm Hg and central serous chorioretinopathy disappeared 7 months postoperatively. CONCLUSIONS: When clinicians consider performing an ophthalmological procedure in a patient with a history of central serous chorioretinopathy in the contralateral eye, careful observation of central serous chorioretinopathy development is recommended.

Key Words: Central serous chorioretinopathy;Glaucoma filtering surgery