Chronic angle-closure glaucoma secondary to a suprachoroidal effusion induced by central retinal vein occlusion.
A 68-year-old woman presented to the ophthalmology emergency clinic with a painful left eye of a few hours' duration. One month prior, the patient had presented with a central retinal vein occlusion in the same eye. Examination revealed an intraocular pressure of 32 mm Hg in the left eye with 360 degree angle closure unaltered by indentation, a patent iridectomy from a previous combined phacoemulsification and trabeculectomy surgery, and no evident iris or angle neovascularization. Ultrasound biomicroscopic examination revealed a large suprachoroidal effusion with anterior rotation of the ciliary body and secondary angle closure in the left eye. The patient underwent successful pars plana vitrectomy, radial optic neurotomy, intra-vitreal triamcinolone acetonide injection, and goniosynechialysis.
Papamatheakis
Demosthenes G
DG
Ophthalmology Department, Maisonneuve-Rosemont Hospital, University of Montreal, Montreal, Canada.
Devaux
Angèle
A
Cordahi
Ghassan
G
Harasymowycz
Paul J
PJ
D000368:Aged; D000869:Anterior Eye Segment / Q000000981:diagnostic imaging; D000959:Antihypertensive Agents / Q000627:therapeutic use; D015862:Choroid Diseases / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D002908:Chronic Disease; D003131:Combined Modality Therapy; D005122:Exudates and Transudates; D005260:Female; D015812:Glaucoma, Angle-Closure / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D005938:Glucocorticoids / Q000008:administration & dosage; D006068:Gonioscopy; D006801:Humans; D033401:Microscopy, Acoustic; D012170:Retinal Vein Occlusion / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D014222:Triamcinolone Acetonide / Q000008:administration & dosage; D014821:Vitrectomy
D000959:Antihypertensive Agents; D005938:Glucocorticoids; D014222:Triamcinolone Acetonide