신생혈관녹내장환자의 아메드밸브삽입술 후 발생한 지연형 맥락막상강출혈

• 영문명: Delayed Suprachoroidal Hemorrhage After Ahmed Valve Implantation for Neovascular Glaucoma
• 발행기관: 대한안과학회
• 저자명: 고태혁 정자영 심형섭 김황기,Taehyuk Koh, MD, Ja-Young Jung, MD, Hyoung Sub Shim, MD, Hwang Ki Kim, MD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume50,number4, 635~639쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2009.04.30

영문 초록

Purpose: To report the case of delayed suprachoroidal hemorrhage after Ahmed valve implantation in a neovascular glaucoma (NVG) patient. Case summary: A 74-years-old male visited the hospital with ocular pain in the left eye. He had a history of vitrectomy and Intraocular lens (IOL) scleral fixation due to trauma in the left eye. NVG was diagnosed and Ahmed valve was implanted in his left eye. Three days later, hypotony occurred with all quadrant choroidal detachment. Next day, raised intraocular pressure (IOP) was checked and anterior chamber was flat on slit lamp examination. Vitreous hemorrhage and suprachoroidal hemorrhage were suspected. We performed anterior chamber formation with viscoelastics. The anterior chamber became deeper and hemorrhage gradually decreased. A month later, the patient visited us with severe ocular pain. Raised IOP and shallow anterior chamber due to moderate hyphema and anteriorly placed IOL were found. Retinal detachment was suspected on B-scan. Vitrectomy, IOL removal, silicone oil insertion, and Ahmed valve removal were performed. Conclusions: We report we experienced one patient of delayed suprachoroidal hemorrhage after Ahmed valve implantation and he had poor prognosis. J Korean Ophthalmol Soc 2009;50(4):635-639

키워드

Ahmed valve, Choroidal detachment, Suprachoroidal hemorrhage