Managing Delayed Suprachoroidal Hemorrhage After Insertion of XEN45 Glaucoma Device.

Abstract:

:A 78-year-old man with angle closure glaucoma and on treatment with oral anticoagulants, underwent phacoemulsification. An early acute suprachoroidal hemorrhage (SCH) occurred and the surgical wound was rapidly sutured without complete soft lens matter removal, nor insertion of intraocular lens. The SCH was managed conservatively and it resolved in 5 weeks; the intraocular pressure was 35 mm Hg despite maximal medical treatment. Secondary soft lens matter removal followed by intraocular lens implantation combined with XEN45 was then performed. After 7 days the patient developed a potentially "kissing" choroidal touch due to significant delayed SCH. This was treated with surgical drainage. Significant suprachoroidal bleeding can occur after minimally invasive glaucoma procedures. Patients on anticoagulant therapy may require careful monitoring while planning glaucoma surgery.

journal_name

J Glaucoma

journal_title

Journal of glaucoma

authors

Stringa F,Ali Z,Christou S,Karandikar S,Shankar V

doi

10.1097/IJG.0000000000001170

subject

Has Abstract

pub_date

2019-05-01 00:00:00

pages

e72-e74

issue

5

eissn

1057-0829

issn

1536-481X

journal_volume

28

pub_type

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