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Bilateral choroidal effusion after selective laser trabeculoplasty.

F Hernández Pardines¹, J C Molina Martín¹, L Fernández Montalvo¹

¹Hospital Universitario San Juan de Alicante, San Juan de Alicante, Alicante, España.

Archivos De La Sociedad Espanola De Oftalmologia

|November 30, 2016

Summary

Selective laser trabeculoplasty (SLT) effectively treats open-angle glaucoma. However, this case highlights a rare complication of bilateral choroidal effusion following SLT in a patient with uncontrolled primary open-angle glaucoma.

Keywords:

Bilateral choroidal effusion Desprendimiento coroideo bilateral Glaucoma de ángulo abierto Open-angle glaucoma Selective laser trabeculoplasty Trabeculoplastia selectiva láser

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Area of Science:

Ophthalmology
Glaucoma Research
Laser Therapy

Background:

Open-angle glaucoma is a leading cause of irreversible blindness.
Selective laser trabeculoplasty (SLT) is a common first-line or adjunctive treatment for open-angle glaucoma.
SLT is generally considered safe with a low complication rate.

Observation:

A 73-year-old woman presented with uncontrolled primary open-angle glaucoma.
The patient underwent bilateral selective laser trabeculoplasty (SLT).
Post-procedure, the patient developed bilateral choroidal effusion.

Findings:

This case report details an unusual adverse event following SLT.
Bilateral choroidal effusion occurred despite the generally safe profile of SLT.
The occurrence of this complication in both eyes warrants further investigation.

Implications:

Ophthalmologists should be aware of the potential for choroidal effusion after SLT.
Further research is needed to understand the risk factors and mechanisms of this rare complication.
This finding may influence patient selection and post-operative monitoring protocols for SLT.