[Choroid effusion in an antiglaucoma operation in a child with Sturge-Weber syndrome]

Klinische Monatsblatter Fur Augenheilkunde
|April 1, 1985
PubMed

Insights

Expulsive choroidal effusion, a rare complication, occurred in a child with Sturge-Weber syndrome during surgery. This youngest patient experienced persistent visual acuity loss due to retinal detachments.

Area of Science:

  • Ophthalmology
  • Pediatric Surgery
  • Genetics

Background:

  • Sturge-Weber syndrome is a congenital neurological disorder.
  • Expulsive choroidal effusion is a rare but serious ophthalmic complication.
  • Fistulating operations are surgical procedures to create an artificial opening.

Observation:

  • A pediatric patient with Sturge-Weber syndrome developed expulsive choroidal effusion post-operatively.
  • This complication occurred during a fistulating operation.
  • The patient was the youngest reported case of this condition.

Findings:

  • Persistent choroidal and retinal detachments were observed post-surgery.
  • The effusion led to a significant decrease in visual acuity.
  • Early identification and management are crucial.

Implications:

  • This case highlights the risk of expulsive choroidal effusion in pediatric patients with Sturge-Weber syndrome undergoing surgery.
  • It underscores the importance of careful surgical planning and monitoring in such cases.
  • Further research may be needed to understand and mitigate this risk.

Related Concept Videos

Glaucoma: Overview01:25

Glaucoma: Overview

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...
Open Angle Glaucoma: Treatment01:27

Open Angle Glaucoma: Treatment

In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...
Angle Closure Glaucoma: Treatment01:28

Angle Closure Glaucoma: Treatment

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...