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KMID : 1813520190080020074
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Journal of the Korean Glaucoma Society
2019 Volume.8 No. 2 p.74 ~ p.77
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Unusual Severe Intraocular Hemorrhage Following Glaucoma Surgery in Patients with Systemic Lupus Erythematous
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Jung Kyoung-In
Park Chan-Kee
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Abstract
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Purpose : Severe intraocular bleeding is not a common complication following glaucoma surgery in general. The authors report two cases with history of systemic lupus erythematous (SLE) developing severe intraocular bleeding in anterior segment or posterior segment after glaucoma surgery on diagnosis of steroid induced glaucoma.
Case summary : An 18-year-old male with a history of SLE and being medicated with prednisolone was referred for ophthalmologic clinic with elevated intraocular pressure (IOP). Laboratory examination presented no abnormality in coagulation profile and dilated fundus examination did not show lupus retinopathy preoperatively. After two each glaucoma surgery, slit-lamp biomicroscopy revealed persistent hyphema and severe subhyaloid hemorrhage, respectively. Following unresolved subhyaloid hemorrhage and retinal detachment, vitrectomy was performed. A 17-year-old female with SLE and longterm use of steroid underwent glaucoma surgery because of uncontrolled IOP. She also developed considerable hyphema postoperatively.
Conclusions : A rigorous analysis for bleeding risk preoperatively, and close attention for glaucoma surgery in SLE patients should be preceded although there is no high risk of hemorrhage in laboratory profile.
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KEYWORD
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Glaucoma surgery, Intraocular hemorrhage, Systemic lupus erythematous
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