Transient choroidal detachment after ultrasonic circular cyclocoagulation
| Autor: | Ricardo Figueiredo, João Garrido, Tiago Morais Sarmento, Ana Luísa Rebelo |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
0301 basic medicine
Intraocular pressure medicine.medical_specialty genetic structures Glaucoma Ophthalmology department 030105 genetics & heredity Methylprednisolone 03 medical and health sciences 0302 clinical medicine Postoperative Complications Ophthalmology Medicine Humans Glucocorticoids Aged Best corrected visual acuity business.industry General Medicine Hypotensive therapy medicine.disease eye diseases Reminder of Important Clinical Lesson Choroidal detachment High-Intensity Focused Ultrasound Ablation sense organs business Complication 030217 neurology & neurosurgery Choroidal Effusions |
| Zdroj: | BMJ Case Rep |
| ISSN: | 1757-790X |
| Popis: | Two patients with refractory glaucoma followed in our ophthalmology department registered progression on left eyes (OS) despite best practice. Best corrected visual acuity (BCVA) was 9/10 and 8/10 and intraocular pressure (IOP) was above 20 mm Hg while under maximal hypotensive therapy. The procedure was performed under retrobulbar anaesthesia with second-generation EyeOp1probes. In follow-up, OS were hypotonic with registered IOP ≤5 mm Hg and revealed a 3/10 BCVA. The funduscopy showed one temporal and superior and another nasal and temporal choroidal detachments. The patients started oral steroids and interrupted all ocular hypotensive medication. After therapy, patients returned with normal rising OS IOPs and with totally reapplied choroids, accompanied by normalised BCVA. These two cases are proof of the possibility of transient choroidal detachment after a ultrasonic circular cyclocoagulation. While a very rare major vision-threatening complication, every ophthalmologist should remind it when sudden BCVA reductions occur after this procedure. |
| Databáze: | OpenAIRE |
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