Extensive serous ciliochoroidal detachments and macular subretinal and intraretinal fluid following laser peripheral iridotomy
Purpose: We present multimodal imaging of an interesting case of a 78-year-old man who developed large ciliochoroidal detachments and macular subretinal and intraretinal fluid in the right eye following bilateral neodymium-doped yttrium aluminium garnet (Nd:YAG) laser peripheral iridotomies (LPIs)....
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2022-06-01
|
| Series: | American Journal of Ophthalmology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2451993622002298 |
| _version_ | 1811231654584254464 |
|---|---|
| author | Devin Betsch Amr Zaki Jeremy Murphy Hesham Lakosha R. Rishi Gupta |
| author_facet | Devin Betsch Amr Zaki Jeremy Murphy Hesham Lakosha R. Rishi Gupta |
| author_sort | Devin Betsch |
| collection | DOAJ |
| description | Purpose: We present multimodal imaging of an interesting case of a 78-year-old man who developed large ciliochoroidal detachments and macular subretinal and intraretinal fluid in the right eye following bilateral neodymium-doped yttrium aluminium garnet (Nd:YAG) laser peripheral iridotomies (LPIs). Observations: The ciliochoroidal detachments developed in the absence of documented post-procedure hypotony or intraocular pressure fluctuation. Ultrasound biomicroscopy (UBM) confirmed serous ciliochoroidal detachment. There are a small number of cases of ciliochoroidal detachments developing after peripheral iridotomy, but these have involved either argon laser, significant decrease in intraocular pressure, or underlying ocular conditions or structural abnormalities, such as Vogt-Koyanagi-Harada (VKH) or nanophthalmos. Conclusions: Serous ciliochoroidal detachments following the relatively non-invasive procedure of LPI are rare occurrences. We present our case in hopes of increasing awareness of this potential acute complication. We also discuss the diagnostic challenges of this unique case, the extensive work up, and current status of the patient. |
| first_indexed | 2024-04-12T10:48:42Z |
| format | Article |
| id | doaj.art-1f1b3ff519714e919a4f7ef3196fbc02 |
| institution | Directory Open Access Journal |
| issn | 2451-9936 |
| language | English |
| last_indexed | 2024-04-12T10:48:42Z |
| publishDate | 2022-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Journal of Ophthalmology Case Reports |
| spelling | doaj.art-1f1b3ff519714e919a4f7ef3196fbc022022-12-22T03:36:19ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362022-06-0126101483Extensive serous ciliochoroidal detachments and macular subretinal and intraretinal fluid following laser peripheral iridotomyDevin Betsch0Amr Zaki1Jeremy Murphy2Hesham Lakosha3R. Rishi Gupta4Corresponding author. Department of Ophthalmology and Visual Sciences QEII Health Sciences Centre, 2035-2 West Victoria Building, 1276 South Park Street. Halifax, NS, B3H 2Y9, Canada.; Department of Ophthalmology & Visual Sciences, QEII Health Sciences Centre, 2035-2 West Victoria Building, 1276 South Park Street, Halifax, NS, CA B3H 2Y9, CanadaDepartment of Ophthalmology & Visual Sciences, QEII Health Sciences Centre, 2035-2 West Victoria Building, 1276 South Park Street, Halifax, NS, CA B3H 2Y9, CanadaDepartment of Ophthalmology & Visual Sciences, QEII Health Sciences Centre, 2035-2 West Victoria Building, 1276 South Park Street, Halifax, NS, CA B3H 2Y9, CanadaDepartment of Ophthalmology & Visual Sciences, QEII Health Sciences Centre, 2035-2 West Victoria Building, 1276 South Park Street, Halifax, NS, CA B3H 2Y9, CanadaDepartment of Ophthalmology & Visual Sciences, QEII Health Sciences Centre, 2035-2 West Victoria Building, 1276 South Park Street, Halifax, NS, CA B3H 2Y9, CanadaPurpose: We present multimodal imaging of an interesting case of a 78-year-old man who developed large ciliochoroidal detachments and macular subretinal and intraretinal fluid in the right eye following bilateral neodymium-doped yttrium aluminium garnet (Nd:YAG) laser peripheral iridotomies (LPIs). Observations: The ciliochoroidal detachments developed in the absence of documented post-procedure hypotony or intraocular pressure fluctuation. Ultrasound biomicroscopy (UBM) confirmed serous ciliochoroidal detachment. There are a small number of cases of ciliochoroidal detachments developing after peripheral iridotomy, but these have involved either argon laser, significant decrease in intraocular pressure, or underlying ocular conditions or structural abnormalities, such as Vogt-Koyanagi-Harada (VKH) or nanophthalmos. Conclusions: Serous ciliochoroidal detachments following the relatively non-invasive procedure of LPI are rare occurrences. We present our case in hopes of increasing awareness of this potential acute complication. We also discuss the diagnostic challenges of this unique case, the extensive work up, and current status of the patient.http://www.sciencedirect.com/science/article/pii/S2451993622002298Laser peripheral iridotomyCiliochoroidal detachmentSerous choroidal detachmentSerous retinal detachmentComplications |
| spellingShingle | Devin Betsch Amr Zaki Jeremy Murphy Hesham Lakosha R. Rishi Gupta Extensive serous ciliochoroidal detachments and macular subretinal and intraretinal fluid following laser peripheral iridotomy American Journal of Ophthalmology Case Reports Laser peripheral iridotomy Ciliochoroidal detachment Serous choroidal detachment Serous retinal detachment Complications |
| title | Extensive serous ciliochoroidal detachments and macular subretinal and intraretinal fluid following laser peripheral iridotomy |
| title_full | Extensive serous ciliochoroidal detachments and macular subretinal and intraretinal fluid following laser peripheral iridotomy |
| title_fullStr | Extensive serous ciliochoroidal detachments and macular subretinal and intraretinal fluid following laser peripheral iridotomy |
| title_full_unstemmed | Extensive serous ciliochoroidal detachments and macular subretinal and intraretinal fluid following laser peripheral iridotomy |
| title_short | Extensive serous ciliochoroidal detachments and macular subretinal and intraretinal fluid following laser peripheral iridotomy |
| title_sort | extensive serous ciliochoroidal detachments and macular subretinal and intraretinal fluid following laser peripheral iridotomy |
| topic | Laser peripheral iridotomy Ciliochoroidal detachment Serous choroidal detachment Serous retinal detachment Complications |
| url | http://www.sciencedirect.com/science/article/pii/S2451993622002298 |
| work_keys_str_mv | AT devinbetsch extensiveserousciliochoroidaldetachmentsandmacularsubretinalandintraretinalfluidfollowinglaserperipheraliridotomy AT amrzaki extensiveserousciliochoroidaldetachmentsandmacularsubretinalandintraretinalfluidfollowinglaserperipheraliridotomy AT jeremymurphy extensiveserousciliochoroidaldetachmentsandmacularsubretinalandintraretinalfluidfollowinglaserperipheraliridotomy AT heshamlakosha extensiveserousciliochoroidaldetachmentsandmacularsubretinalandintraretinalfluidfollowinglaserperipheraliridotomy AT rrishigupta extensiveserousciliochoroidaldetachmentsandmacularsubretinalandintraretinalfluidfollowinglaserperipheraliridotomy |