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Choroidal detachment after uncomplicated small incision cataract surgery
Chikako Suto1, Satoru Mita, Sadao Hori
1Department of Ophthalmology, Tokyo Women's Medical University School of Medicine, Tokyo, and Saiseikai Kurihashi Hospital, Saitama, Japan.
Case Reports in Ophthalmology
|June 29, 2012
Summary
Angiotensin II receptor blockers (ARBs) rarely cause angioedema. This case report details a patient experiencing choroidal detachment after cataract surgery with sub-Tenon anesthesia while on ARB therapy.
Area of Science:
- Ophthalmology
- Pharmacology
Background:
- Angiotensin II receptor blockers (ARBs) are infrequently linked to angioedema.
- Sub-Tenon anesthesia is a common anesthetic technique for cataract surgery.
Observation:
- An 82-year-old woman on ARB therapy for hypertension developed posterior pole serous choroidal detachment post-cataract surgery with sub-Tenon anesthesia.
- Visual acuity decreased, but improved with oral steroids.
Findings:
- This is the first reported instance of ARB-induced choroidal detachment following cataract surgery.
- The patient did not experience recurrence when undergoing surgery on the contralateral eye without sub-Tenon anesthesia.
Implications:
- Ophthalmologists should consider ARB-induced angioedema as a potential cause of choroidal detachment.
- Sub-Tenon anesthesia may exacerbate ARB-related angioedema, necessitating careful patient selection and monitoring.
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