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Abstract #79580 Published in IGR 20-2

Managing Delayed Suprachoroidal Hemorrhage After Insertion of XEN45 Glaucoma Device

Stringa F; Ali Z; Christou S; Karandikar S; Shankar V
Journal of Glaucoma 2019; 28: e72-e74

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A 78-year-old man with angle closure glaucoma and on treatment with oral anticoagulants, underwent phacoemulsification. An early acute suprachoroidal hemorrhage (SCH) occurred and the surgical wound was rapidly sutured without complete soft lens matter removal, nor insertion of intraocular lens. The SCH was managed conservatively and it resolved in 5 weeks; the intraocular pressure was 35 mm Hg despite maximal medical treatment. Secondary soft lens matter removal followed by intraocular lens implantation combined with XEN45 was then performed. After 7 days the patient developed a potentially "kissing" choroidal touch due to significant delayed SCH. This was treated with surgical drainage. Significant suprachoroidal bleeding can occur after minimally invasive glaucoma procedures. Patients on anticoagulant therapy may require careful monitoring while planning glaucoma surgery.

Royal Blackburn and Burnley General Teaching Hospitals, East Lancashire Hospitals NHS Trust, Lancashire, United Kingdom.

Full article

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Classification:

12.8.2 With tube implant or other drainage devices (Part of: 12 Surgical treatment > 12.8 Filtering surgery)

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