Chronic angle-closure glaucoma secondary to a suprachoroidal effusion induced by central retinal vein occlusion

A 68-year-old woman presented to the ophthalmology emergency clinic with a painful left eye of a few hours' duration. One month prior, the patient had presented with a central retinal vein occlusion in the same eye. Examination revealed an intraocular pressure of 32 mm Hg in the left eye with 360 degree angle closure unaltered by indentation, a patent iridectomy from a previous combined phacoemulsification and trabeculectomy surgery, and no evident iris or angle neovascularization. Ultrasound biomicroscopic examination revealed a large suprachoroidal effusion with anterior rotation of the ciliary body and secondary angle closure in the left eye. The patient underwent successful pars plana vitrectomy, radial optic neurotomy, intra-vitreal triamcinolone acetonide injection, and goniosynechialysis.