Central serous retinal detachment following glaucoma filtration surgery.
We report the occurrence of central serous retinal detachment in association with hypotony in a patient that had undergone glaucoma filtration surgery. A 35-year-old man, who had a recent closed-globe injury, underwent trabeculectomy with mitomycin C for intractable traumatic glaucoma. On the second day after surgery, the eye became hypotonous and the patient's visual acuity decreased abruptly to counting fingers. Fundoscopy and optical coherence tomography revealed a central serous retinal detachment. Fundus florescein angiography showed choroidal leakage from traumatic perifoveal retinal pigment epithelial defects. Although the hypotony resolved within the first postoperative week, it took 2 months for the central serous retinal detachment to clear. To our knowledge, this is the first reported case of isolated central serous retinal detachment following glaucoma filtration surgery.
Service d'Ophtalmologie, Hôpital d'Éducation de Haydarpasa, Académie Militaire de Médecine de Gulhane, Tıbbiye Caddesi, Üsküdar, Istanbul, Turkey. aliaydin67@hotmail.com
A
A
Aydin
A
A
Cakir
M H
MH
Unal
D
D
Ersanli
D000328:Adult; D018463:Filtering Surgery / Q000009:adverse effects*; D005451:Fluorescein Angiography; D005901:Glaucoma / Q000601:surgery*; D006801:Humans; D008297:Male; D012163:Retinal Detachment / Q000175:diagnosis / Q000209:etiology*; D041623:Tomography, Optical Coherence