[Late and recurrent serous choroidal detachment after trabeculectomy: case report].
A case of an 85 year-old white man with bilateral senile cataract and advanced primary open-angle glaucoma uncontrolled with maximal medical therapy, asteroid hyalosis in OD and age-related macular degeneration in OS, submitted to a phacotrabeculectomy OU with mitomycin-C is reported. Because the surgery failed in both eyes, even after laser suture lysis, 5-FU injections and needling, it was necessary to reintroduce hypotensive agents. With the fixed combination of 0.5% timolol+2% dorzolamide, a serous choroidal detachment with marked hypotony developed in both eyes; with 1% brinzolamide it only occurred in the OS. The IOP raised and the choroidal detachment resolved completely after discontinuation of the medications. The dilemma was finally solved through repeat needling with subconjunctival 5-FU injections.
Silva
Nikias Alves da
NA
Clínica de Olhos da Santa Casa de Misericórdia, Centro de Oftalmologia Avançada, Belo Horizonte, MG, Brazil. nikiasa@hotmail.com
Silva
Felício Aristóteles da
FA
D000369:Aged, 80 and over; D000959:Antihypertensive Agents / Q000627:therapeutic use; D002387:Cataract Extraction / Q000009:adverse effects; D015862:Choroid Diseases / Q000188:drug therapy / Q000209:etiology*; D005472:Fluorouracil / Q000627:therapeutic use; D005902:Glaucoma, Open-Angle / Q000601:surgery; D006801:Humans; D008297:Male; D016685:Mitomycin / Q000627:therapeutic use; D009798:Ocular Hypertension / Q000188:drug therapy / Q000209:etiology*; D012008:Recurrence; D014130:Trabeculectomy / Q000009:adverse effects*
D000959:Antihypertensive Agents; D016685:Mitomycin; D005472:Fluorouracil