Hemorrhagic choroidal detachment after use of anti-glaucomatous eye drops: case report

• Autor(a) principal: Coban,Deniz Turgut
• Data de Publicação: 2013
• Outros Autores: Erol,Muhammet Kazim, Yucel,Ozgur
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Arquivos brasileiros de oftalmologia (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492013000500012
• topic: Choroid hemorrhage/chemically induced; Choroid hemorrhage/diagnosis; Antihypertensive agents/adverse effects; Antihypertensive agents/administration & dosage; Case report

Eighty-two-year-old patient with a pacemaker using warfarin due to arrhythmia and having an intraocular lens in the right eye, developed spontaneous hemorrhagic choroidal detachment one day after the use of combined preparation of 0.5% timolol maleate and 0.004% travoprost, due to primary open-angle glaucoma. Hemorrhagic detachment was detected by anterior and posterior segment examination, as well as B-scan ultrasonography. After the detachment, excessive increased intraocular pressure was controlled with oral carbonic anhydrase inhibitor, cycloplegic and steroid therapy. After four months, visual acuity was 20/20 and the intraocular pressure was under control with 0.5% timolol maleate and 1% brinzolamide. Controlled reduction of the intraocular pressure should be considered, particularly in older patients under anticoagulant therapy and that had undergone prior ocular surgery.