Case Report

Primary Congenital Glaucoma with Delayed Suprachoroidal Hemorrhage following Combined Trabeculotomy Trabeculectomy and 5-Fluorouracil

Table 6

Eight weeks after combined trabeculotomy + trabeculectomy 5FU and left delayed suprachoroidal drainage in clinic.

History Improved vision with clearing of the white patch in both eyes, eyes looking smaller than before surgery, no tearing, no blepharospasm

OD ExaminationOS

Showing axial lengths of 28.6 mmB scanAxial lengths of 26.0 mm, no other pathology seen except increased vitreous echogenic strands

6/18VA CSM aided with spectacles6/24

Buphthalmos less GlobeBuphthalmos less

Low diffuse blebsConjunctivaLow diffuse blebs

Corneal clear centrally, stromal scars fluorescein −ve CorneaCorneal clear with stromal scars

21 mmHgIOP ICARE22 mmHg

Normal, brownIrisNormal, brown
Superomedial subluxation, clearLensSuperomedial subluxation, clear

ClearVitreousNo proliferative vitreoretinopathy

C/DR = 0.7Fundoscopy/BIOPink oval disc
v.C/DR = 0.8
Moderate chorioretinal degeneration
No retinal detachment

+4.50DS/−2.00DC × 90°Objective refraction (through the aphakic portion)+4.00DS/−2.50DC × 85°