J Korean Ophthalmol Soc.  2014 Dec;55(12):1895-1900. 10.3341/jkos.2014.55.12.1895.

A Case of Central Serous Chorioretinopathy after Glaucoma Filtering Surgery

• Park HJ
• Park JW

• KMID: 2338982
• DOI: http://doi.org/10.3341/jkos.2014.55.12.1895

Abstract

PURPOSE
To report a case of central serous chorioretinopathy development after glaucoma filtering surgery and spontaneous resolution in a patient with a history of central serous chorioretinopathy in the contralateral eye.
CASE SUMMARY
A 46-year-old male with a history of chronic uveitis in both eyes presented with uncontrolled intraocular pressure (IOP) in his left eye. Initial IOP was 34 mm Hg in his left eye. On preoperative evaluation, central serous chorioretinopathy, which was diagnosed in another clinic 1 month prior, was observed in his right eye. Slightly pale optic disc and retinal nerve fiber layer defects were noted in the left eye. However, macular abnormalities were not observed in the left eye. Trabeculectomy and peripheral iridectomy using mitomycin C were performed in the left eye. The patient was prescribed triamcinolone 8 mg daily for 4 days to reduce the post-surgical inflammation. On postoperative day 4, IOP in the left eye was 7 mm Hg and newly developed central serous chorioretinopathy was noted. On follow-up, IOP was maintained at 7-10 mm Hg and central serous chorioretinopathy disappeared 7 months postoperatively.
CONCLUSIONS
When clinicians consider performing an ophthalmological procedure in a patient with a history of central serous chorioretinopathy in the contralateral eye, careful observation of central serous chorioretinopathy development is recommended.

Keyword

Central serous chorioretinopathy; Glaucoma filtering surgery

MeSH Terms

Central Serous Chorioretinopathy*
Filtering Surgery*
Follow-Up Studies
Glaucoma*
Humans
Inflammation
Intraocular Pressure
Iridectomy
Male
Middle Aged
Mitomycin
Nerve Fibers
Retinaldehyde
Trabeculectomy
Triamcinolone
Uveitis
Mitomycin
Retinaldehyde
Triamcinolone

Figure

• 

  Figure 1. Preoperative fundus photograph reveals (A) a focal elevated lesion at macula in right eye (B) and slightly pale optic disc and no definite abnormal findings of macula in left eye. Preoperative optical coherence tomography (C) shows focal pigment epithelial detachment of macula in right eye (D) and no definite abnormal findings of macula in left eye.

• 

  Figure 2. At postoperative fourth day, fundus photographs show (A) no definite change with preoperative examination of the right eye (B) and newly developed serous macular detachment of the left eye. (C) Late-phase fluorescein angiography of the right eye shows a hyperfluorescent spot without active leakage, suggesting the previous occurrence of central serous chorioretinopathy. (D) Fluorescein angiography of the left eye shows a smokestack ejection close to the fovea. Optical coherence tomography shows (E) no obvious change of small pigment epithelial detachment at macula of the right eye (F) and serous retinal detachment with pigment epithelial detachment of the left eye.

• 

  Figure 3. (A) At postoperative 7 months, fundus photograph shows no visible serous detachment of the left eye. (B) Optical coherence tomography reveals completely absorbed serous retinal detachment of the left eye.

Reference

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