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| OPHTHALMIC IMAGE |
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| Year : 2020 | Volume
: 68
| Issue : 8 | Page : 1669 |
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Ultra-widefield image of choroidal detachment after combined glaucoma filtration surgery
Vijayalakshmi A Senthilkumar1, Chitaranjan Mishra2
1 Department of Glaucoma, Aravind Eye Hospital, Madurai, Tamil Nadu, India
2 Department of Retina and Vitreoretinal Surgery, Aravind Eye Hospital, Madurai, Tamil Nadu, India
| Date of Web Publication | 24-Jul-2020 |
Correspondence Address:
Dr. Vijayalakshmi A Senthilkumar
Department of Glaucoma, Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Madurai - 625 020, Tamilnadu
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/ijo.IJO_2092_19
How to cite this article:
Senthilkumar VA, Mishra C. Ultra-widefield image of choroidal detachment after combined glaucoma filtration surgery. Indian J Ophthalmol 2020;68:1669 |
A 65-year male presented with ocular hypotony after 8 months of glaucoma filtration surgery with 0.2 mg/ml Mitomycin -C in the left eye (OS). His best-corrected visual acuity (BCVA) and IOP were 20/30 and 4 mmHg in OS, respectively. Slit-lamp examination revealed overfiltering bleb, negative Siedel test with shallow anterior chamber. Fundus evaluation revealed a cup/disc ratio of 0.9 with 360° peripheral choroidal detachments [Figure 1]. He was treated conservatively with systemic and topical corticosteroids. Hypotony is a sight-threatening complication following glaucoma filtration surgery with a reported incidence rate between 1.3% and 18%.[1],[2] Bleb leak, an important risk factor, was ruled out in our case.[3] Though the majority of the cases improved with conservative management, wide-angle fundus imaging helps in patient counselling in these cases. | Figure 1: Wide-angle fundus photography (Optos Daytona) OS showing 360° peripheral choroidal detachments with advanced glaucomatous cupping
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Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
| References | |  |
| 1. | Akarsu C, Onol M, Hasanreisoglu B. Postoperative 5- fluorouracil versus intraoperative mitomycin C in high-risk glaucoma filtering surgery: Extended follow up. Clin Exp Ophthalmol 2003;31:199-205.  |
| 2. | Megevand GS, Salmon JF, Scholtz RP. The effect of reducing the exposure time of mitomycin C in glaucoma filtering surgery. Ophthalmol 1995;102:84-90. |
| 3. | Karolina C, Baril C, Bourret-Massicotte D, Anctil JL, Caron L, Goyette A, et al. Risk factors for a severe bleb leak following trabeculectomy: A retrospective case-control study. J Glaucoma 2015;24:493-7. |
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