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Intraocular pressure elevation associated with blood in Schlemm's canal after strabismus surgery

PURPOSE: To report a case of increased intraocular pressure (IOP) associated with blood in Schlemm's canal following strabismus surgery. OBSERVATIONS: A 43-year-old female presented with acquired comitant esotropia. The patient had undergone an uneventful bilateral medial rectus recession and r...

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Autores principales: Wutthayakorn, Wisaruta, Meethongkam, Kidakarn, Pukrushpan, Parnchat, Chansangpetch, Sunee
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7076555/
https://www.ncbi.nlm.nih.gov/pubmed/32195447
http://dx.doi.org/10.1016/j.ajoc.2020.100665
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author Wutthayakorn, Wisaruta
Meethongkam, Kidakarn
Pukrushpan, Parnchat
Chansangpetch, Sunee
author_facet Wutthayakorn, Wisaruta
Meethongkam, Kidakarn
Pukrushpan, Parnchat
Chansangpetch, Sunee
author_sort Wutthayakorn, Wisaruta
collection PubMed
description PURPOSE: To report a case of increased intraocular pressure (IOP) associated with blood in Schlemm's canal following strabismus surgery. OBSERVATIONS: A 43-year-old female presented with acquired comitant esotropia. The patient had undergone an uneventful bilateral medial rectus recession and right lateral rectus resection operation under general anesthesia. Routine post-operative follow-up at day 3 detected a marked chemosis at the temporal side of the conjunctiva, an elevated IOP of 30 mmHg, and the presence of blood in Schlemm's canal in the temporal angle of the right eye. Episcleral venous outflow impairment was hypothesized to be the cause of secondary ocular hypertension in this patient. IOP was controlled with anti-glaucoma drops. Conjunctival chemosis, IOP, and blood in Schlemm's canal gradually decreased, and all topical medications were ceased at 11 weeks after the surgery. CONCLUSION AND IMPORTANCE: An IOP elevation can be an early complication after strabismus surgery. The presence of blood in Schlemm's canal suggests that the cause is impairment of episcleral venous flow. Although the episode can be transient, this report underlines the importance of IOP examination during the early post-operative period.
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spelling pubmed-70765552020-03-19 Intraocular pressure elevation associated with blood in Schlemm's canal after strabismus surgery Wutthayakorn, Wisaruta Meethongkam, Kidakarn Pukrushpan, Parnchat Chansangpetch, Sunee Am J Ophthalmol Case Rep Case Report PURPOSE: To report a case of increased intraocular pressure (IOP) associated with blood in Schlemm's canal following strabismus surgery. OBSERVATIONS: A 43-year-old female presented with acquired comitant esotropia. The patient had undergone an uneventful bilateral medial rectus recession and right lateral rectus resection operation under general anesthesia. Routine post-operative follow-up at day 3 detected a marked chemosis at the temporal side of the conjunctiva, an elevated IOP of 30 mmHg, and the presence of blood in Schlemm's canal in the temporal angle of the right eye. Episcleral venous outflow impairment was hypothesized to be the cause of secondary ocular hypertension in this patient. IOP was controlled with anti-glaucoma drops. Conjunctival chemosis, IOP, and blood in Schlemm's canal gradually decreased, and all topical medications were ceased at 11 weeks after the surgery. CONCLUSION AND IMPORTANCE: An IOP elevation can be an early complication after strabismus surgery. The presence of blood in Schlemm's canal suggests that the cause is impairment of episcleral venous flow. Although the episode can be transient, this report underlines the importance of IOP examination during the early post-operative period. Elsevier 2020-03-12 /pmc/articles/PMC7076555/ /pubmed/32195447 http://dx.doi.org/10.1016/j.ajoc.2020.100665 Text en © 2020 Published by Elsevier Inc. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Wutthayakorn, Wisaruta
Meethongkam, Kidakarn
Pukrushpan, Parnchat
Chansangpetch, Sunee
Intraocular pressure elevation associated with blood in Schlemm's canal after strabismus surgery
title Intraocular pressure elevation associated with blood in Schlemm's canal after strabismus surgery
title_full Intraocular pressure elevation associated with blood in Schlemm's canal after strabismus surgery
title_fullStr Intraocular pressure elevation associated with blood in Schlemm's canal after strabismus surgery
title_full_unstemmed Intraocular pressure elevation associated with blood in Schlemm's canal after strabismus surgery
title_short Intraocular pressure elevation associated with blood in Schlemm's canal after strabismus surgery
title_sort intraocular pressure elevation associated with blood in schlemm's canal after strabismus surgery
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7076555/
https://www.ncbi.nlm.nih.gov/pubmed/32195447
http://dx.doi.org/10.1016/j.ajoc.2020.100665
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