Hypotony and choroidal detachment as a complication of travoprost after trabeculectomy surgery

Alexander, Philip; Ramirez-Florez, S

doi:10.1038/eye.2008.58

Cited by 6 publications

(5 citation statements)

References 4 publications

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“…As mentioned previously, the main cause of choroidal detachment is generally believed to be ocular hypotony following surgical procedures [6]. In our literature review, we could identify an interesting case by Doherty et al [11] that shares decisive common features with ours.…”

Section: Discussionsupporting

confidence: 53%

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Massive Bilateral Choroidal Detachment Induced by Administration of Topiramate

Dehghani¹,

Abtahi²,

Abtahi³

et al. 2011

Case Rep Ophthalmol

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Topiramate is a sulfa-derivative antiepileptic drug which is also used for other indications such as essential tremor. A 79-year-old male was admitted to our center due to acute bilateral painless decline of vision. One month before admission, he had experienced essential tremor and treatment with topiramate 50 mg/day and propranolol 40 mg/day. Best-corrected visual acuity was 20/800 OD and 20/600 OS. Both eyes had normal anterior chamber depths and irides. Intraocular pressure was 10 mm Hg in the right eye and 11 mm Hg in the left eye. Retinal examination showed notable choroidal detachments in all quadrants of the periphery, which were confirmed by ultrasonography. Refraction showed no myopic shift. The administration of topiramate was discontinued as a potential causative agent for this condition. During follow-up, choroidal detachment and visual acuity gradually resolved. In this study, we described the first case of isolated massive choroidal detachment induced by topiramate.

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Section: Discussionsupporting

confidence: 53%

“…Choroidal detachment is generally known as a probable complication of sensitized eyes following surgery. Typically, these cases are concurrently treated with ocular hypotensive drugs [6]. Moreover, there are some instances in which the occurrence of choroidal detachment is not explainable by common mechanisms [5].…”

Section: Introductionmentioning

confidence: 99%

Massive Bilateral Choroidal Detachment Induced by Administration of Topiramate

Dehghani¹,

Abtahi²,

Abtahi³

et al. 2011

Case Rep Ophthalmol

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show abstract

“…The selection of the hypotensive agent becomes more relevant after glaucoma surgery. There is evidence in the literature of some cases of choroidal effusion with topical or systemic carbonic-anhydrase inhibitor drugs [ 2 , 3 , 4 , 5 ] and prostaglandin analogs [ 6 , 7 , 8 , 9 ] after trabeculectomy surgery and glaucoma drainage device implantation. However, there are few cases of choroidal detachment related to topical hypotensive medication in the absence of an intraocular surgical history.…”

Section: Discussion/conclusionmentioning

confidence: 99%

Bilateral Choroidal Detachment in the Absence of Previous Intraocular Surgery

Chaves-Samaniego¹,

Lespron²,

Sanchez³

et al. 2022

Case Rep Ophthalmol

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The aim of this report was to present a case of bilateral choroidal detachment following treatment with topical therapy dorzolamide/timolol without history of previous surgery. An 86-year-old woman, with intraocular pressures of 40.00/36.00 mm Hg, was treated with preservative-free double therapy with dorzolamide/timolol. One week later, she presented with bilateral vision loss and irritative symptoms in the face, scalp, and ears, with well controlled pressures. The anterior exam showed LOCS III N4C3 cataracts, and the fundus and ultrasound exams revealed a bilateral infero-temporal choroidal detachment in the absence of neoplasia or other systemic cause. One week in absence of hypotensive treatment and receiving topical prednisolone, she showed reattachment of the choroidal detachment. Six months after cataract surgery, the patient remains stable, without choroidal effusion regression. Hipotensive treatment following chronic angle closure can lead to choroidal effusion similar to cases of acute angle closure treated with oral carbonic-anhydrase inhibitors. The combined strategy of removing hipotensive treatment and topical corticosteroids could be useful for the initial management of choroidal effusion. Also, performing cataract surgery after choroidal reattachment can help with stabilization.

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“…15 When aggressive hypotensive anti-glaucomatous therapy is applied, choroidal detachment may be observed in cases with preceding glaucomatous or cataract surgery, as well as in cases without surgical intervention. [16][17][18][19][20][21][22][23] Most cases of postoperative choroidal detachment resolve spontaneously. Choroidal effusion in our patients was resolved with discontinuation of anti-glaucomatous therapy and inclusion of corticosteroid drops and cyclopent.…”

Section: Discussionmentioning

confidence: 99%

Late Choroidal Effusion after Phacoemulsification in Eyes with Previous Trabeculectomy

Konareva-Kostianeva

Kostianeva-Zhelinska

Stoyanova

2019

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Citation: Konareva-Kostianeva M, Kostianeva-Zhelinska S, Stoyanova N. Late choroidal effusion after phacoemulsification in eyes with previous trabeculectomy. Folia Med (Plovdiv) 2019;61(4):506-11. AbstractAim: To present 5 cases of late choroidal detachment occurring spontaneously in pseudophakic glaucomatous eyes with previous trabeculectomy before cataract surgery. We discuss the causes, risk factors, frequency, diagnostic methods, differential diagnosis, and treatment of this disease. Materials and methods:In the presented 5 cases the choroidal effusion is proved by ophthalmoscopy and echography. Late choroidal detachment occurs after phacoemulsification 6 months at the earliest and 9 years at the latest (mean period 2.5 years) in glaucomatous eyes with previous trabeculectomy. To prove choroidal detachment we accomplished routine ophthalmological examination including medical history, visual acuity, tonometry, examination of anterior segment (AS) and fundus. We have done B-scan echography using А/В Ocular Ultrasound Aviso Quantel Medical.

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Hypotony and choroidal detachment as a complication of travoprost after trabeculectomy surgery

Cited by 6 publications

References 4 publications

Massive Bilateral Choroidal Detachment Induced by Administration of Topiramate

Massive Bilateral Choroidal Detachment Induced by Administration of Topiramate

Bilateral Choroidal Detachment in the Absence of Previous Intraocular Surgery

Late Choroidal Effusion after Phacoemulsification in Eyes with Previous Trabeculectomy

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