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Choroidal detachment after uncomplicated small incision cataract surgery.

Case Rep Ophthalmol

May 2012

Department of Ophthalmology, Tokyo Women's Medical University School of Medicine, Tokyo, and Saiseikai Kurihashi Hospital, Saitama, Japan.

Background And Purpose: Angioedema is a well-recognized side effect of angiotensin-converting enzyme inhibitors, but is rarely associated with angiotensin II receptor blockers (ARB). Here, we report the first case of a patient on ARB therapy (telmisartan) for hypertension who developed serous choroidal detachment localized to the posterior pole after sub-Tenon anesthesia for small incision cataract surgery.

Methods And Results: An 82-year-old Japanese woman who received oral medications for hypertension underwent cataract surgery with sub-Tenon anesthesia using 2% Xylocaine(®) on her left eye.

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