Related Experiment Video
Updated: Aug 8, 2025
05:22
Iris Fixation via External Pentagram Suturing
Published on: May 5, 2022
1.4K
Bilateral Choroidal Detachment in the Absence of Previous Intraocular Surgery
Maria J Chaves-Samaniego1, Aleyda Molina Lespron1, Zaira Cervera Sanchez1
1Vissum, Miranza Group, Alicante, Spain.
Case Reports in Ophthalmology
|February 27, 2023
Summary
Topical dorzolamide/timolol caused bilateral choroidal detachment in an elderly woman. Discontinuing the hypotensive drops and using topical steroids led to resolution, with cataract surgery aiding stabilization.
Area of Science:
- Ophthalmology
- Pharmacology
Background:
- A case report detailing a rare adverse reaction to topical glaucoma medication.
- Highlights the importance of recognizing drug-induced ocular complications.
Observation:
- An 86-year-old female experienced bilateral vision loss and choroidal detachment after initiating preservative-free dorzolamide/timolol drops.
- Ocular hypertension was controlled, but symptoms persisted until hypotensive treatment was withdrawn.
Findings:
- Discontinuation of dorzolamide/timolol and initiation of topical corticosteroids resulted in choroidal reattachment.
- The patient remained stable six months post-cataract surgery, with no recurrence of choroidal effusion.
Implications:
- Hypotensive treatment for chronic angle closure glaucoma can precipitate choroidal effusion.
- A combined strategy of discontinuing hypotensive agents and using topical steroids may effectively manage drug-induced choroidal effusion.
- Cataract surgery post-reattachment can contribute to long-term ocular stability.
Related Concept Videos
01:25Glaucoma: Overview
668
Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
668
01:28Angle Closure Glaucoma: Treatment
602
Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
602