Roy Avik Kumar, Padhy Debananda
Glaucoma Service, LV Prasad Eye Institute, Patia, Bhubaneswar, India.
GMS Ophthalmol Cases. 2015 Dec 28;5:Doc15. doi: 10.3205/oc000037. eCollection 2015.
An 18-year-old male with 360 degree angle recession after blunt trauma in his right eye developed uncontrolled intraocular pressure (IOP) despite four antiglaucoma medications (AGM) with advancing disc damage. He underwent trabeculectomy with intraoperative mitomycin-c (MMC) application. There was an intraoperative vitreous prolapse which was managed accordingly. On post-surgery day 1, he had shallow choroidal detachment superiorly with non-recordable IOP. This was deteriorated 1 week postoperatively as choroidal detachment proceeded to serous retinal detachment. He was started with systemic steroid in addition to topical route. The serous effusions subsided within 2 weeks time. At the last follow up at 3 months, he was enjoying good visual acuity, deep anterior chamber, diffuse bleb, an IOP in low teens off any AGM and attached retina. This case highlights the rare occurrence of serous retinal detachment after surgical management of angle recession glaucoma.
一名18岁男性右眼钝挫伤后出现360度房角后退，尽管使用了四种抗青光眼药物（AGM），眼压仍控制不佳，视盘损害进展。他接受了小梁切除术并术中应用丝裂霉素C（MMC）。术中发生玻璃体脱出并相应处理。术后第1天，他上方出现脉络膜脱离，眼压无法测量。术后1周病情恶化，脉络膜脱离发展为浆液性视网膜脱离。除局部用药外，开始给他全身使用类固醇。浆液性积液在2周内消退。在3个月的最后随访中，他视力良好，前房深，滤过泡弥散，停用任何AGM后眼压在十几mmHg，视网膜复位。该病例凸显了房角后退性青光眼手术治疗后罕见的浆液性视网膜脱离情况。
