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Am J Ophthalmol. 2003 Dec;136(6):1155-7.

Delayed suprachoroidal hemorrhage after needle revision of trabeculectomy bleb in a patient with hairy cell leukemia.

Author information

1
Department of Ophthalmology, Calderdale and Huddersfield National Health Service Trust, Huddersfield Royal Infirmary, Lindley, Huddersfield, United Kingdom.

Abstract

PURPOSE:

To report a rare complication, delayed suprachoroidal hemorrhage, of needle revision of a nonfunctioning trabeculectomy bleb in a patient with previously undetected hairy cell leukemia.

DESIGN:

Interventional case report. METHODS; An 89-year-old man presented with massive delayed suprachoroidal hemorrhage after needle revision of a trabeculectomy bleb.

RESULTS:

Routine investigations before choriodal drainage showed a low platelet count. Anterior chamber washout and choroidal drainage were done after intravenous platelet infusions. Subsequently, the diagnosis of hairy cell leukemia was made by the hematologist.

CONCLUSIONS:

Delayed suprachoroidal hemorrhage is a rare but devastating complication of needle revision of trabeculectomy blebs and should be borne in mind while performing this seemingly trivial outpatient procedure.

PMID:
14644230
DOI:
10.1016/s0002-9394(03)00574-9
[Indexed for MEDLINE]

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