Abstract

Managing glaucoma in Sturge-Weber syndrome (SWS) is refractory needing surgery, which is often associated with serious complications. We report massive serous macular detachment in two patients with SWS following uneventful combined trabeculotomy with trabeculectomy (CTT). Two children with SWS and choroidal haemangioma underwent CTT with all pre-, peri- and postoperative precautions. Few days postoperatively, a large serous macular detachment was noted with a significant drop in vision. They were treated with oral propranolol (2 mg/Kg bodyweight with pediatricians' monitoring for 6-weeks) which helped in complete resolution of subretinal fluid in 1-month with good improvement in visual acuity and well-controlled IOP.

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