Spontaneous resolution of long-standing choroidal effusion after glaucoma drainage implant surgery without significant visual deterioration : a case report
Abstract Background Choroidal effusion is a common complication of glaucoma surgery. Although most cases of choroidal effusions resolve spontaneously with observation or medical management alone as intraocular pressure normalizes, surgical drainage might be needed in severe or persistent cases. Here...
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| Format: | Article |
| Language: | English |
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BMC
2023-11-01
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| Series: | BMC Ophthalmology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12886-023-03213-8 |
| _version_ | 1827723926744072192 |
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| author | Mi Sun Sung Jong Hoon Lee Yong-Sok Ji Sang Woo Park |
| author_facet | Mi Sun Sung Jong Hoon Lee Yong-Sok Ji Sang Woo Park |
| author_sort | Mi Sun Sung |
| collection | DOAJ |
| description | Abstract Background Choroidal effusion is a common complication of glaucoma surgery. Although most cases of choroidal effusions resolve spontaneously with observation or medical management alone as intraocular pressure normalizes, surgical drainage might be needed in severe or persistent cases. Herein, we report a case of spontaneous resolution of long-standing severe choroidal effusion after Ahmed glaucoma valve implantation. Case presentation An 85-year-old man with uncontrolled primary open-angle glaucoma and medical history of chronic kidney disease underwent uneventful Ahmed glaucoma valve implantation. On postoperative day 8, transient hypotony occurred, and large 360° peripheral choroidal detachments developed. Although the intraocular pressure increased to normal levels on postoperative day 15, choroidal effusion did not resolve. Fundus examination over 8 months showed that the large choroidal effusion persisted despite a well-controlled intraocular pressure. Laboratory test performed at preoperatively and follow-up period revealed persistently elevated potassium and creatinine levels. On postoperative 9 months, the lesion resolved spontaneously without any surgical intervention. We found that the patient’s creatinine level was normalized, pre-existing hyperkalemia was corrected, and accordingly his general condition was improved. Conclusions Considering the underlying medical condition may be helpful in patients with persistent choroidal effusion of an unclear etiology following glaucoma filtering surgery. |
| first_indexed | 2024-03-10T22:07:40Z |
| format | Article |
| id | doaj.art-b2b7b0847025456c9610801754a107dd |
| institution | Directory Open Access Journal |
| issn | 1471-2415 |
| language | English |
| last_indexed | 2024-03-10T22:07:40Z |
| publishDate | 2023-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Ophthalmology |
| spelling | doaj.art-b2b7b0847025456c9610801754a107dd2023-11-19T12:45:17ZengBMCBMC Ophthalmology1471-24152023-11-012311510.1186/s12886-023-03213-8Spontaneous resolution of long-standing choroidal effusion after glaucoma drainage implant surgery without significant visual deterioration : a case reportMi Sun Sung0Jong Hoon Lee1Yong-Sok Ji2Sang Woo Park3Department of Ophthalmology, Chonnam National University Medical School and HospitalDepartment of Ophthalmology, Chonnam National University Medical School and HospitalDepartment of Ophthalmology, Chonnam National University Medical School and HospitalDepartment of Ophthalmology, Chonnam National University Medical School and HospitalAbstract Background Choroidal effusion is a common complication of glaucoma surgery. Although most cases of choroidal effusions resolve spontaneously with observation or medical management alone as intraocular pressure normalizes, surgical drainage might be needed in severe or persistent cases. Herein, we report a case of spontaneous resolution of long-standing severe choroidal effusion after Ahmed glaucoma valve implantation. Case presentation An 85-year-old man with uncontrolled primary open-angle glaucoma and medical history of chronic kidney disease underwent uneventful Ahmed glaucoma valve implantation. On postoperative day 8, transient hypotony occurred, and large 360° peripheral choroidal detachments developed. Although the intraocular pressure increased to normal levels on postoperative day 15, choroidal effusion did not resolve. Fundus examination over 8 months showed that the large choroidal effusion persisted despite a well-controlled intraocular pressure. Laboratory test performed at preoperatively and follow-up period revealed persistently elevated potassium and creatinine levels. On postoperative 9 months, the lesion resolved spontaneously without any surgical intervention. We found that the patient’s creatinine level was normalized, pre-existing hyperkalemia was corrected, and accordingly his general condition was improved. Conclusions Considering the underlying medical condition may be helpful in patients with persistent choroidal effusion of an unclear etiology following glaucoma filtering surgery.https://doi.org/10.1186/s12886-023-03213-8Primary open-angle glaucomaChoroidal effusionglaucoma drainage implant Surgery |
| spellingShingle | Mi Sun Sung Jong Hoon Lee Yong-Sok Ji Sang Woo Park Spontaneous resolution of long-standing choroidal effusion after glaucoma drainage implant surgery without significant visual deterioration : a case report BMC Ophthalmology Primary open-angle glaucoma Choroidal effusion glaucoma drainage implant Surgery |
| title | Spontaneous resolution of long-standing choroidal effusion after glaucoma drainage implant surgery without significant visual deterioration : a case report |
| title_full | Spontaneous resolution of long-standing choroidal effusion after glaucoma drainage implant surgery without significant visual deterioration : a case report |
| title_fullStr | Spontaneous resolution of long-standing choroidal effusion after glaucoma drainage implant surgery without significant visual deterioration : a case report |
| title_full_unstemmed | Spontaneous resolution of long-standing choroidal effusion after glaucoma drainage implant surgery without significant visual deterioration : a case report |
| title_short | Spontaneous resolution of long-standing choroidal effusion after glaucoma drainage implant surgery without significant visual deterioration : a case report |
| title_sort | spontaneous resolution of long standing choroidal effusion after glaucoma drainage implant surgery without significant visual deterioration a case report |
| topic | Primary open-angle glaucoma Choroidal effusion glaucoma drainage implant Surgery |
| url | https://doi.org/10.1186/s12886-023-03213-8 |
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