Choroidal effusion following laser peripheral iridotomy for the treatment of angle closure glaucoma in a patient with nanophthalmos.
We report a case of Nanophthalmos with choroidal effusion and retinal detachment following a peripheral laser iridotomy for the treatment of angle closure glaucoma. Angle closure glaucoma was diagnosed in the right eye of the patient after finding an elevated intraocular pressure and narrow angles on gonioscopy. The glaucoma was treated by lowering the intraocular pressure medically followed by laser peripheral iridotomy. The first day after a laser peripheral iridotomy, choroidal effusion was noticed that was followed by an exudative retinal detachment within a week. The medical and laser therapies for the lowering of intraocular pressure for the treatment of angle closure glaucoma in patients with nanophthalmos can be associated with choroidal effusion, retinal detachment and loss of vision.
Thapa
Suman Shumsher
SS
Tilganga Eye Centre, Kathmandu, Nepal. ssthapa@tilganga.com.np
Paudyal
Govinda
G
D000328:Adult; D015862:Choroid Diseases / Q000209:etiology*; D015812:Glaucoma, Angle-Closure / Q000150:complications / Q000601:surgery*; D006801:Humans; D032801:Iridectomy / Q000009:adverse effects* / Q000379:methods; D053685:Laser Therapy / Q000009:adverse effects*; D008297:Male; D008850:Microphthalmos / Q000150:complications*; D012163:Retinal Detachment / Q000209:etiology