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Full-Circle Cauterization of Limbal Vascular Plexus for Surgically Induced Glaucoma in Rodents
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Choroidal Congestion after Trabeculectomy.

Maria Marenco1,2, Luigi Borgia3, Aldo Vagge1,2

  • 1Clinica Oculistica, DiNOGMI, University of Genoa, Genoa, Italy.

Case Reports in Ophthalmology
|December 12, 2019
PubMed
Summary
This summary is machine-generated.

Choroidal congestion, a potential complication following trabeculectomy surgery for glaucoma, can cause visual impairment. This case report highlights that spectral domain optical coherence tomography (OCT) aids diagnosis and systemic steroids can effectively treat this condition.

Keywords:
Choroidal congestionSpectral domain optical coherence tomographyTrabeculectomy

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Area of Science:

  • Ophthalmology
  • Glaucoma Surgery
  • Choroidal Diseases

Background:

  • Trabeculectomy is a common surgical procedure for advanced open-angle glaucoma.
  • Postoperative complications can affect visual outcomes.
  • Choroidal congestion is a rare but significant complication.

Observation:

  • An 85-year-old male developed visual impairment in his right eye one month after bilateral trabeculectomy.
  • Spectral domain optical coherence tomography (OCT) revealed choroidal congestion in the affected eye.
  • A decrease in visual acuity was noted concurrently with the congestion.

Findings:

  • Choroidal congestion, visualized by OCT, is a possible complication after trabeculectomy.
  • This condition can lead to reduced visual acuity.
  • The patient's symptoms and OCT findings resolved after treatment with systemic steroids.

Implications:

  • OCT is crucial for diagnosing choroidal congestion post-trabeculectomy.
  • Early detection and management with steroids may prevent long-term visual loss.
  • This case underscores the importance of monitoring for and treating choroidal congestion after glaucoma surgery.