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Ocular Immunology and Inflammation Volume 32, 2024 - Issue 3
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Letters to the Editor

Choroidal Effusion with Exudative Retinal Detachment following Non Perforating YAG-Laser Peripheral Iridotomy: A Case Report

Ludovico Iannettia Department of Sense Organs, Sapienza University of Rome, Rome, Italy;b Ophthalmology Unit, Head and Neck Department, Policlinico Umberto I University Hospital, Rome, ItalyCorrespondence[email protected]
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, MD, PhD,
Elvia Mastrogiuseppea Department of Sense Organs, Sapienza University of Rome, Rome, Italy;b Ophthalmology Unit, Head and Neck Department, Policlinico Umberto I University Hospital, Rome, ItalyView further author information
, MD,
Eleonora Gnolfoa Department of Sense Organs, Sapienza University of Rome, Rome, Italy;b Ophthalmology Unit, Head and Neck Department, Policlinico Umberto I University Hospital, Rome, ItalyView further author information
, MD,
Serafina Spagnoloa Department of Sense Organs, Sapienza University of Rome, Rome, Italy;b Ophthalmology Unit, Head and Neck Department, Policlinico Umberto I University Hospital, Rome, ItalyView further author information
, MD &
Magda Gharbiyaa Department of Sense Organs, Sapienza University of Rome, Rome, Italy;b Ophthalmology Unit, Head and Neck Department, Policlinico Umberto I University Hospital, Rome, ItalyView further author information
, MD Associate Professor
Pages 358-361 | Received 22 Jul 2022, Accepted 05 Jan 2023, Published online: 26 Jan 2023
 
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ABSTRACT

Aim

To report a case of choroidal effusion and exudative retinal detachment following a non perforating Yttrium-Aluminium-Garnett (YAG)-laser iridotomy.

Design

Case report.

Methods

A 53-year-old woman complains of sudden onset of blurred vision in her left eye 15 days after the attempt of YAG-laser peripheral iridotomy. Clinical examination revealed 3+ flare and 1+ cells in the anterior chamber, 2+ vitreous cells, swollen optic nerve, ciliochoroidal effusion, and exudative retinal detachment involving macular area in the left eye. After starting treatment with prednisone 25 mg once daily, choroidal effusion and retinal detachment were managed successfully without any surgical approach.

Conclusion

Serous choroidal and exudative retinal detachments are rare complications following YAG-laser procedure. In our case, this clinical presentation occurs after a non perforating iridotomy. In medical practice, exudative retinal detachment should be always considered after YAG-laser iridotomy.

Disclosure statement

No potential conflict of interest was reported by the authors.

Additional information

Funding

Funding received for this work by National Institutes of Health, Wellcome Trust, Howard Hughes Medical Institute or other Institutes: none.

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