title: Infusion misdirection syndrome during trabeculectomy for primary trabeculodysgenesis.
abstract: OBJECTIVE
  To report a case of infusion misdirection syndrome, simulating an intraoperative suprachoroidal hemorrhage, in an eye undergoing trabeculectomy for primary trabeculodysgenesis.
  
  
  METHODS
  A 21-year-old woman underwent trabeculectomy for primary trabeculodysgenesis. Congenitally abnormal intraocular anatomy led to intraoperative and postoperative complications.
  
  
  RESULTS
  Intraoperative anterior chamber irrigation was followed by vitreous prolapse. Eye pain, globe hardening, and shallowing of the anterior chamber were caused by infusion misdirection into the posterior segment. The eye was rapidly closed after a limited wound-site vitrectomy. Intraoperative and postoperative management led to a successful outcome.
  
  
  CONCLUSIONS
  Altered intraocular anatomy set the stage for infusion misdirection syndrome, a rare but manageable complication that mimicked an expulsive suprachoroidal hemorrhage.
authors.affiliation: Department of Ophthalmology, Jones Eye Institute, University of Arkansas for Medical Sciences, Little Rock, Arkansas 72205, USA. hypotony@yahoo.com
authors.forename: Tony
authors.initials: T
authors.lastname: Realini
authors.forename: Michael S
authors.initials: MS
authors.lastname: Vaphiades
mesh_terms: D000328:Adult; D002832:Choroid Hemorrhage / Q000175:diagnosis; D003315:Cornea / Q000002:abnormalities; D005124:Eye Abnormalities / Q000150:complications / Q000601:surgery*; D005260:Female; D006801:Humans; D007429:Intraocular Pressure; D007431:Intraoperative Complications; D007498:Iris / Q000002:abnormalities; D011183:Postoperative Complications; D012599:Sclerostomy; D013577:Syndrome; D007507:Therapeutic Irrigation / Q000009:adverse effects*; D014129:Trabecular Meshwork / Q000002:abnormalities*; D014130:Trabeculectomy; D014792:Visual Acuity