Ciliochoroidal Effusion Induced by Topical Latanoprost in a Patient with Sturge-Weber Syndrome

Sakima, Nariko; Nakamura, Yoshimi; Nakamura, Yuko; Hayakawa, Kazuhisa; Sawaguchi, Shoichi

doi:10.1016/s0021-5155(02)00542-7

Cited by 33 publications

(7 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This was spontaneous and had no history of intraocular surgery 3. Latanoprost-induced increased uveoscleral outflow in the presence of elevated episcleral venous pressure resulted in aqueous accumulation in the suprachoroidal space with resultant ciliochoroidal effusion and inflammation.…”

Section: Discussionmentioning

confidence: 97%

“…Postoperative use is known to cause intraocular inflammation and cystoid macular oedema 2. Uveal effusion after cataract surgery is associated with ocular injury, chronic uveitis, vascular diseases such as Sturge-Weber syndrome, malignancy and scleral abnormality of nanophthalmos or uveal effusion syndrome 3. Spontaneous choroidal detachment following an uncomplicated cataract surgery in an eye with normal ocular biometry is extremely rare.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Late postoperative choroidal detachment following an uneventful cataract surgery in a patient on topical latanoprost

Krishnamurthy

Senthil²,

Garudadri

2015

BMJ Case Reports

View full text Add to dashboard Cite

SUMMARYTopical latanoprost is a most effective and commonly used antiglaucoma medication. Use of prostaglandin analogues (PGA) in the early postoperative period is controversial due to its proinflammatory properties. We report a case of a 64-year-old man with primary open angle glaucoma, post-trabeculectomy 17 years prior, with good intraocular pressure (IOP) control on topical levobunolol 0.5% and latanoprost 0.005%. He underwent a clear corneal phacoemulsification surgery in his left eye and the PGA was stopped. He had an uneventful postoperative course and was prescribed eyeglasses at 4-week follow-up. Two weeks later, he presented to the emergency department with decreased vision in the left eye, flat anterior chamber, IOP of 00 mm Hg and 360°choroidal detachment. The continued use of topical latanoprost in the operated eye was implicated as the cause. This case illustrates the serious vision-threatening side effect of PGA when used in the early postoperative period. BACKGROUND

show abstract

Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

Late postoperative choroidal detachment following an uneventful cataract surgery in a patient on topical latanoprost

Krishnamurthy

Senthil²,

Garudadri

2015

BMJ Case Reports

View full text Add to dashboard Cite

show abstract

“…[ 6 ] Furthermore, inflammatory mediators play an important role in relaxing the ciliary body and remodeling the extracellular matrix with subsequent hyposecretion and increased uveoscleral outflow. [ 7 ]…”

Section: Discussionmentioning

confidence: 99%

Ciliochoroidal effusion with persistent hypotony after trabectome surgery

Osman

Almobarak

2015

Indian J Ophthalmol

View full text Add to dashboard Cite

The trabectome is a novel form of ab interno trabeculectomy that ablates and remove the trabecular meshwork and the inner wall of Schlemm's canal and subsequently expose the natural drainage pathway (the collector channels) to aqueous humor. Complications associated with the trabectome are few and among them is transient hypotony. We report a case of a prolonged ciliochoroidal effusion with hypotony after ab interno trabeculectomy using the trabectome with cyclodialysis cleft detected by 80 MHz ultrasound biomicroscopy in a previously neither nonoperated nor traumatized eye. Transient hypotony has been reported after the trabectome surgery. Very few cases were associated with inadvertent intraoperative cyclodialysis, but there are no cases of prolonged hypotony with ciliochoroidal effusion with cyclodialysis. In our case, associated transient intraoperative and postoperative hypotony with a history of chronically high pressure along with the possible contribution of low-grade postoperative inflammation may have precipitated the ciliochoroidal effusion with prolonged hypotony associated with cyclodialysis.

show abstract

“…Klinisch handelt es sich dabei allerdings häufig um subtile Veränderungen, die ohne gezielte und eingehende Untersuchung leicht übersehen werden können. Durch Druckschwankungen im Rahmen einer Operation [6,7], aber auch in Einzelfällen beschrieben im Zusammenhang mit antiglaukomatöser Lokaltherapie [8,9] und ggf. spontan, kann es zu Flüssigkeitstranssudationen aus den Hämangiomen und in Folge zu massiver choroidaler Effusion mit Entwicklung einer serösen Ablatio retinae kommen.…”

Section: Augenunclassified

“…Bei den Late-Onset-Glaukomen wird zunächst versucht, den Augendruck durch lokale und systemische Medikation auf ein tolerierbares Niveau zu senken. Bei der Lokaltherapie sollten Prostaglandinanaloga vermieden werden, da durch diese Wirkklasse die Induktion eines choroidalen Effusionssyndroms beschrieben wurde [8,9]. Zurückgeführt wird dieser Effekt von den Autoren einerseits auf eine Störung der Blut-Kammerwasser-Schranke, andererseits auf den erhöhten uveoskleralen Abfluss, der in Verbindung mit dem erhöhten episkleralen Venendruck zur Ansammlung von Kammerwasser in den supraziliären/choroidalen Raum führen könnte.…”

Section: Late-onsetunclassified