Open AccessLupus flare in a manifestation of consecutive hypotony maculopathy after trabeculectomy
Author(s) -
KeHung Chien,
DaWen Lu,
MingCheng Tai
Publication year - 2014
Publication title -
yīxué yánjiū zázhì/journal of medical sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.176
H-Index - 12
eISSN - 2542-4939
pISSN - 1011-4564
DOI - 10.4103/1011-4564.147278
Subject(s) - medicine , maculopathy , trabeculectomy , systemic lupus erythematosus , systemic disease , corticosteroid , perioperative , surgery , glaucoma surgery , glaucoma , ophthalmology , dermatology , disease , retinopathy , diabetes mellitus , endocrinology
Systemic lupus erythematosus (SLE) up-raises the surgical risk due to its unpredictable perioperative disease activity. Lupus flare represents an important issue because of its potential threat in organ damage and drug toxicity after adjusting the dosage of immune-modulating agents. A 34-year-old female was referred for trabeculectomy surgery for her poor-controlled steroid-related glaucoma with a 5-year history of SLE under systemic steroids control. Remission status was confirmed with normal serum complement levels. However, lupus flare with clinical ocular findings as hypotony maculopathy presented 1-week after uneventful surgery. Early and effective treatment with pulse corticosteroid therapy was conducted, and this patient recovered her ocular performance 1-month later except preexisting glaucomatous visual field deficits. SLE flare may be seen in any form of postoperative complications, even masked with consecutive hypotony maculopathy. This case reminds early detection of systemic lupus flare and different therapeutic plan is prompt in postoperative follow-up