tailieunhanh - Báo cáo y học: " Good functional recovery following intervention for delayed suprachoroidal haemorrhage post bleb needling: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Good functional recovery following intervention for delayed suprachoroidal haemorrhage post bleb needling: a case report | Journal of Medical Case Reports BioMed Central Open Access Case report Good functional recovery following intervention for delayed suprachoroidal haemorrhage post bleb needling a case report Paul S Cannon A Fiona Spencer and Michael Lavin Address Manchester Royal Eye Hospital Oxford Road Manchester M13 9WH UK Email Paul S Cannon - pscan05@ A Fiona Spencer - Michael Lavin - lavin@ Corresponding author Published 13 March 2008 Received 31 July 2007 Journal of Medical Case Reports 2008 2 81 doi 1752-1947-2-81 Accepted 13 March 2008 This article is available from http content 2 1 81 2008 Cannon et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Bleb needling is a recognised procedure in the management of patients with failing trabeculectomies. Suprachoroidal haemorrhage can occur as an unusual complication. We report a pseudophakic man who had early surgical intervention for this complication. This intervention may have contributed to the good recovery of his visual acuity and the minimum changes to his visual fields. Case presentation A 79-year-old pseudophakic man with chronic open angle glaucoma presented with further deterioration of his right visual field despite maximum medical therapy and a previous trabeculectomy. The right visual acuity was 6 9 with an intraocular pressure IOP of 16 mmHg. Bleb needling with 5-fluouracil was performed in a standard manner. His postoperative IOP was 6 mmHg. Thirty-six hours later the visual acuity was reduced to hand movements and two large choroidal detachments where observed clinically which progressed to suprachoroidal haemorrhages. Five days after the initial needling the .