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Photo Essay
April 1999

Giant Retinal Pigment Epithelial Tear After Trabeculectomy

Arch Ophthalmol. 1999;117(4):546. doi:10.1001/archopht.117.4.546

A 71-YEAR-OLD black woman with hypertension and non–insulin-dependent diabetes of 18 years was referred to the Medical Retina Service at Moorfields Eye Hospital, London, England, in December 1997. Ocular history included primary open-angle glaucoma and moderate nonproliferative diabetic retinopathy. In September 1997 she had undergone right phacoemulsification, lens implantation, and trabeculectomy with mitomycin. Postoperative visual acuity was 20/80 OU; intraocular pressure was 9 mm Hg OU. Two weeks after surgery she developed an inferior serous choroidal detachment in the right eye. Intraocular pressure was 12 mm Hg OD and the anterior chamber was well formed. Her condition was managed conservatively and the choroidal detachment resolved in 3 weeks.