Choroidal effusion and shallowing of the anterior chamber after adjunctive therapy with latanoprost in a trabeculectomized patient with angle closure glaucoma.
OBJECTIVE
Choroidal effusion and anterior chamber loss can occur in a trabeculectomized eye either spontaneously or following aqueous suppressant drug use.


METHODS
A 50 year-old women with complaints of pain in the left eye (LE) was diagnosed as angle closure glaucoma. She was treated medically and underwent bilateral laser iridotomy. Because of high intraocular pressure it was decided to perform trabeculectomy. During the follow up period, the bleb became flat and after 3 months the IOP was again 24 mmHg with timolol maleate 0.5% and dorzolamide twice a day. Latanoprost was added to the therapy of the LE.


RESULTS
12 days later the patient returned with pain and vision loss in her LE. The anterior chamber was diffusely narrow and ophthalmoscopy showed massive choroidal effusion.


CONCLUSIONS
The possible mechanisms of this complication were discussed.
Alimgil
M L
ML
Trakya University Medical Faculty Eye Clinic, 22030 Edirne, Turkey. alimgil@trakya.edu.tr
Benian
O
O
D000867:Anterior Chamber / Q000187:drug effects* / Q000503:physiopathology; D000959:Antihypertensive Agents / Q000009:adverse effects*; D015862:Choroid Diseases / Q000188:drug therapy / Q000209:etiology* / Q000503:physiopathology; D005122:Exudates and Transudates; D005260:Female; D015812:Glaucoma, Angle-Closure / Q000601:surgery*; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D007429:Intraocular Pressure / Q000187:drug effects*; D032801:Iridectomy; D053685:Laser Therapy; D000077338:Latanoprost; D008875:Middle Aged; D009184:Mydriatics / Q000627:therapeutic use; D011461:Prostaglandins F, Synthetic / Q000009:adverse effects*; D014130:Trabeculectomy; D016896:Treatment Outcome; D014792:Visual Acuity
D000959:Antihypertensive Agents; D005938:Glucocorticoids; D009184:Mydriatics; D011461:Prostaglandins F, Synthetic; D000077338:Latanoprost