A case of suprachoroidal hemorrhage following trabeculectomy Sumako Yamada 1 , Miyuki Sugita 1 , Shigeaki Ohno 1,2 1Dept of Ophthalmol, Yokohama City Univ Sch of Med 2Dept of Ophthalmol, Hokkaido Univ Sch of Med pp.365-368
Published Date 2001/3/15
DOI https://doi.org/10.11477/mf.1410908986
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A 59-year-old man was referred for glaucoma in his right eye. He had had myopia of -7.5 diopters in both eyes since childhood. His left eye had become blind due to total retinal detachment at the age of 35 years. He had a history of cataract surgery and trabeculectomy in his right eye. After medications failed to control the intraocular pressure (IOP) below 48mmHg, we performed trabeculectomy with adjunctive mitomycin C on his right eye. On day 2 of surgery, the anterior chamber was well formed with the IOP of 3mmHg. Choroidal detach-ment was present in the nasal periphery. It developed into total and bullous choroidal detachment. Magnetic resonance imaging (MRI) showed the presence of suprachoroidal hematoma on day 19 of surgery. Thereafter, the IOP remained at about 15mmHg. The suprachoroidal hematoma disappeared spontaneously on day 50 of surgery. The corrected visual acuity improved from the presurgical hand motion to 0.4. It appeared that expulsivehemorrhage induced the suprachoroidal hematoma due to risk factors including elevated IOP at the time of surgery, aphakia, myopia, ageing and postoperative hypotony.

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