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PURPOSE: Choroidal effusion and anterior chamber loss can occur in a trabeculectomized eye either spontaneously or following aqueous suppressant drug use. METHODS: A 50-year-old women with the complaint of pain in her left eye (LE) was diagnosed as angle closure glaucoma. She was treated medically and underwent bilateral laser iridotomy. Because of high intraocular pressure (IOP) it was decided to perform trabeculectomy. During the follow-up period, the bleb became flat and after three months IOP was again 24 mmHg with timolol maleate 0.5% and dorzolamide twice a day. Latanoprost was added to the therapy of the LE. RESULTS: Twelve days later, the patient returned with pain and vision loss in her LE. The anterior chamber was diffusely narrow and ophthalmoscopy showed massive choroidal effusion. CONCLUSION: The possible mechanisms of this complication are discussed.
Dr. M.L. Alimgil, Trakya University, Medical Faculty Eye Clinic, 22030 Edirne, Turkey. alimgil@trakya.edu.tr
11.4 Prostaglandins (Part of: 11 Medical treatment)