FP1649 : SWAN SYNDROME – AFTER TRABECULECTOMY

Dr.ANSHUL SINGH, S21623

Swan syndrome is focal vascularization from an ingrowth of episcleral vessels at the cataract wound site, resulting in recurrent intraocular bleeding. It has been reported after ICCE,ECCE,glaucoma filtering surgeries.

A 40 yr male, high myope with uncontrolled POAG in LE underwent an uneventful Phaco+ IOL following which.he had recurrent uveitis which responded to steroids

After 3yrs Patient came with DOV LE.No h/o trauma,with Small Hyphema,which resolved in a few days,BCVA, A/S, disc , retina and IOP were normal

Gonioscopy: Showed a pinkish blush on the internal ostium ? neovascularisation and the

vessels were seen to actively bleed with pressure from the Goniolens. angle was open

with moderate pigmentation. A diagnosis of SWAN syndrome was made.

SWAN syndrome is rare , but needs to be kept in mind as a DD for recurrent inflammation with

hyphema after anterior segment surgeries, with a scleral approach. Anti VEGF drugs can be

effectively used in the management of this condition.