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

• Main Authors: Deniz Turgut Coban, Muhammet Kazim Erol, Ozgur Yucel
• Format: Article
• Language: English
• Published: Conselho Brasileiro de Oftalmologia 2013-10-01
• Series: Arquivos Brasileiros de Oftalmologia
• Subjects: Hemorragia da coróide; Hemorragia da coroide; Anti-hipertensivos; Relato de caso
• Online Access: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492013000500012&lng=en&tlng=en

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.