DR. KANIKA BHARDWAJ

DR. SWATI SINGH

Abstract

A 78-year-old hypertensive male patient with Parkinson’s disease and bilateral cataract (RE>LE) underwent uneventful phacoemulsification surgery in his right eye and gained good vision post-op. At one week visit patient presented with diminished vision in RE, shallow AC (VH II) in both eyes with normal IOP. Biometry showed reduction of axial length in RE and USG B scan showed choroidal effusion in both eyes. Patient was started on hourly steroid drops; atropine eye drops and oral steroids. Two days later patient was clinically better and anterior chamber depth was VH III. One-week later patient’s vision improved with resolving choroidals in both eyes. Choroidal effusion is most seen in ocular hypotony. Other causes are inflammation, suprachoroidal haemorrhage, and sulpha drugs like topiramate. Our patient was on systemic antihypertensives prior to surgery and oral acetazolamide for two days after the surgery. The most probable cause here appears to be the sulpha drug acetazolamide.