Choroidal effusion and shallowing of the anterior chamber after adjunctive therapy with latanoprost in a trabeculectomized patient with angle closure glaucoma

摘要

Purpose: Choroidal effusion and anterior chamber loss can occur in atrabeculectomized eye either spontaneously or following aqueous suppressantdrug use. Methods: A 50 year-old women with complaints of pain in theleft eye (LE) was diagnosed as angle closure glaucoma. She was treated medicallyand underwent bilateral laser iridotomy. Because of high intraocular pressure it wasdecided to perform trabeculectomy. During the follow up period, the bleb becameflat and after 3 months the IOP was again 24 mmHg with timolol maleate 0.5% anddorzolamide twice a day. Latanoprost was added to the therapy of the LE. Results:12 days later the patient returned with pain and vision loss in her LE. The anteriorchamber was diffusely narrow and ophthalmoscopy showed massive choroidal effusion.Conclusion: The possible mechanisms of this complication were discussed.