Delayed suprachoroidal hemorrhage after needle revision of trabeculectomy bleb in a patient with hairy cell leukemia.
OBJECTIVE
To report a rare complication, delayed suprachoroidal hemorrhage, of needle revision of a nonfunctioning trabeculectomy bleb in a patient with previously undetected hairy cell leukemia.


METHODS
Interventional case report. METHODS; An 89-year-old man presented with massive delayed suprachoroidal hemorrhage after needle revision of a trabeculectomy bleb.


RESULTS
Routine investigations before choriodal drainage showed a low platelet count. Anterior chamber washout and choroidal drainage were done after intravenous platelet infusions. Subsequently, the diagnosis of hairy cell leukemia was made by the hematologist.


CONCLUSIONS
Delayed suprachoroidal hemorrhage is a rare but devastating complication of needle revision of trabeculectomy blebs and should be borne in mind while performing this seemingly trivial outpatient procedure.
Syam
Padmanabha Pillai
PP
Department of Ophthalmology, Calderdale and Huddersfield National Health Service Trust, Huddersfield Royal Infirmary, Lindley, Huddersfield, United Kingdom.
Hussain
Badrul
B
Anand
Nitin
N
D000368:Aged; D000369:Aged, 80 and over; D002832:Choroid Hemorrhage / Q000209:etiology*; D004322:Drainage / Q000379:methods; D005902:Glaucoma, Open-Angle / Q000601:surgery; D006801:Humans; D007429:Intraocular Pressure; D007943:Leukemia, Hairy Cell / Q000473:pathology*; D008297:Male; D009339:Needles; D012086:Reoperation; D014130:Trabeculectomy / Q000009:adverse effects*; D014792:Visual Acuity