title: Restoration of pretrabeculectomy visual acuity and a functioning filtering bleb in an eye with delayed suprachoroidal haemorrhage following trabeculectomy.
abstract: A 35-year-old myopic man with juvenile open angle glaucoma was referred to us with fluctuating intraocular pressure (IOP) and progression in his only seeing left eye. He had systemic features suggestive of Marfan's syndrome. He underwent trabeculectomy with low dose mitomycin-C with operative precautions to prevent postoperative hypotony in view of high myopia and scleral thinning. On the second postoperative day, he had severe pain in his left eye, with vomiting, and presented with decreased vision, high IOP and a flat anterior chamber. Ultrasound B scan revealed 360° haemorrhagic choroidal detachment. He was conservatively managed and monitored over the next 1 month with appropriate medical treatment. He not only recovered his pretrabeculectomy visual acuity but also had a well functioning bleb at the end of 2 months.
authors.affiliation: Department of Glaucoma, L V Prasad Eye Institute, Hyderabad, Telangana, India.
authors.forename: Sirisha
authors.initials: S
authors.lastname: Senthil
authors.affiliation: Department of Glaucoma, L V Prasad Eye Institute, Hyderabad, Telangana, India.
authors.forename: Supriya
authors.initials: S
authors.lastname: Gupta
authors.affiliation: Department of Glaucoma, L V Prasad Eye Institute, Hyderabad, Telangana, India.
authors.forename: Pasyanthi
authors.initials: P
authors.lastname: Balijepalli
mesh_terms: D000328:Adult; D001768:Blister; D002832:Choroid Hemorrhage / Q000000981:diagnostic imaging* / Q000188:drug therapy; D005902:Glaucoma, Open-Angle / Q000150:complications / Q000601:surgery*; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D008297:Male; D009184:Mydriatics / Q000627:therapeutic use; D009216:Myopia / Q000150:complications; D019106:Postoperative Hemorrhage / Q000000981:diagnostic imaging* / Q000188:drug therapy; D011239:Prednisolone / Q000627:therapeutic use; D014130:Trabeculectomy / Q000009:adverse effects*; D016896:Treatment Outcome; D014463:Ultrasonography; D014792:Visual Acuity
chemical_list: D005938:Glucocorticoids; D009184:Mydriatics; D011239:Prednisolone