J Korean Ophthalmol Soc.  1996 Dec;37(12):2150-2153.

Serous Retinal Detachment Following Trabeculectomy in a Case of Sturge-Weber Syndrome with Glaucoma

• Bae JH
• Cho HD
• Woo SC

Abstract

A trabeculectomy with mitomycin (0.2mg/ml, 5 minutes) was performed in a 28-year-old man with glaucoma associated with Sturge-Weber syndrome. Two prophylactic posterior sclerotomies were made in an attempt to prevent sudden uveal effusion. The surgery was uncomplicated. On the first postoperative day, however, the anterior chamber became shallow with hypotony (<4mmHg). A 360 degrees choroidal detachment with serous retinal detachment encroaching upon macula was recognized. On the third postoperative day, evacuation of the suprachoroidal space was performed. However, the eye remained hypotonus and choroidal expansion with overlying retinal detachment occured again. The bleb decreased in size with time and the intraocular pressures(IOPs) rose gradually (10-14mmHg). The choroidal and retinal detachment resolved spontaneously with the increased IOP in 40 days. Twenty seven monthes after trabeculectomy, he has a small localized. bleb. The IOP is maintained in the high-teens(15-20mmHg) without any medication.

Keyword

Sturge-Weber syndrome; trabeculectomy; choroidal and retinal detachment; prophylactic posterior sclerotomy

MeSH Terms

Adult
Anterior Chamber
Blister
Choroid
Glaucoma*
Humans
Mitomycin
Retinal Detachment*
Retinaldehyde*
Sturge-Weber Syndrome*
Trabeculectomy*
Mitomycin
Retinaldehyde