97th DOG Annual Meeting 1999
P596
SPONTANEOUS CHOROIDAL DETACHMENT - A CASE REPORT
A. Stein, U. Hammer, G. I. W. Duncker
Choroidal detachment with subretinal hemorrhage is a severe complication after glaucoma surgery. This complication occured more frequent in the era of intracapsular cataract extraction. Retinal surgeons may face choroidal detachments after surgery in form of a so-called string syndrome.
A 76-year-old patient in good general condition presented herself as outpatient with acute visual loss to 1/35 combined with sudden pain in her left eye after a cough attack on the day before. Half a year before phacoemulsification with implantation of an intraocular lens had been performed on this eye. Due to cataract on the fellow eye, the right eye had only a visual acuity of 0,25. Having also had a phlebothrombosis of her leg, the patient got 100 mg ASS daily. The clinical sign was choroidal detachment superiorly and temporally with a subretinal hemorrhage into the macula. The choroidal detachment resolved completly over eight weeks after the reduct of the ASS- therapy plus physical rest. Now the visual acuity is 0,5 with correction.
The differential diagnoses are discussed and the clinical course is demonstrated by ultrasound B pictures.
Universitätsaugenklinik, Magdeburger Str. 8, 06112 Halle/Saale
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