Bilateral Choroidal Detachment in the Absence of Previous Intraocular Surgery

The aim of this report was to present a case of bilateral choroidal detachment following treatment with topical therapy dorzolamide/timolol without history of previous surgery. An 86-year-old woman, with intraocular pressures of 40.00/36.00 mm Hg, was treated with preservative-free double therapy wi...

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Bibliographic Details
Published in:Case reports in ophthalmology 2022-09, Vol.13 (3), p.711-716
Main Authors: Chaves-Samaniego, Maria J., Molina Lespron, Aleyda, Cervera Sanchez, Zaira, Amat Peral, Pedro, Ruiz Moreno, José M.
Format: Article
Language:English
Subjects:
acute angle-closure glaucoma
Case Report
Case reports
Cataracts
choroidal detachment
choroidal effusion
dorzolamide
Drugs
Eye surgery
Glaucoma
Ophthalmology
timolol
Tomography
Ultrasonic imaging
Visual acuity
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Summary:The aim of this report was to present a case of bilateral choroidal detachment following treatment with topical therapy dorzolamide/timolol without history of previous surgery. An 86-year-old woman, with intraocular pressures of 40.00/36.00 mm Hg, was treated with preservative-free double therapy with dorzolamide/timolol. One week later, she presented with bilateral vision loss and irritative symptoms in the face, scalp, and ears, with well controlled pressures. The anterior exam showed LOCS III N4C3 cataracts, and the fundus and ultrasound exams revealed a bilateral infero-temporal choroidal detachment in the absence of neoplasia or other systemic cause. One week in absence of hypotensive treatment and receiving topical prednisolone, she showed reattachment of the choroidal detachment. Six months after cataract surgery, the patient remains stable, without choroidal effusion regression. Hipotensive treatment following chronic angle closure can lead to choroidal effusion similar to cases of acute angle closure treated with oral carbonic-anhydrase inhibitors. The combined strategy of removing hipotensive treatment and topical corticosteroids could be useful for the initial management of choroidal effusion. Also, performing cataract surgery after choroidal reattachment can help with stabilization.
ISSN:1663-2699
1663-2699
DOI:10.1159/000526681