Choroidal Effesuion After Trabeculetomy in Glaucoma with Sturge-Weber Syndrome

ABSTRACT

The authors experienced a case of choroidal expansion which occurred after trabeculectomy in glaucoma with Sturge-Weber syndrome. She had right facial nevus flammeus and prominent episcleral vessels. Intraocular pressure was measured to be 45mmHg(OD). Gonioscopy showed wide open angle. Fundus examination revealed tortous retinal vessels and glaucomatous optic atrophy. We performed trabeculectomy and mitomycin-C soaking. There were no serious intraoperative complications. Choroidal expansion and detachment occurred at entire peripheral fundus postoperatively. It disappeared when intraocular pressure was maintained high(24-36mmHg), but recurred when intraocular pressure maintaned low(15-20mmHg). Indocyanine green angiography revealed chroidal hemangioma at posterior pole of fundus.