Retinal Hemorrhages During Examination for Retinopathy of Prematurity: A Form of Ocular Decompression Retinopathy

2020 ◽  
pp. 247412642093648
Author(s):  
Vlad M. Matei ◽  
Yu-Guang He
Keyword(s):  
Case Report ◽  
General Anesthesia ◽  
Retinopathy Of Prematurity ◽  
Laser Photocoagulation ◽  
Rare Complication ◽  
Posterior Segment ◽  
Retinal Hemorrhages ◽  
Ocular Findings ◽  
Decompression Retinopathy ◽  
Intraretinal Hemorrhages

Purpose: Posterior segment hemorrhage occurring during or shortly after examination (PSHE) for retinopathy of prematurity (ROP) is a very rare complication. We present a case of and review the literature on PSHE during ROP examination to better characterize this complication. Methods: A case report is presented, followed by a review of similar cases in the literature. Results: An infant undergoing laser photocoagulation for ROP rapidly developed diffuse intraretinal hemorrhages in his right eye during the laser and after a Valsalva event while he was intubated under general anesthesia. The hemorrhages resolved within 1 week. This presentation was similar to those in previously reported cases. Conclusions: PSHE in ROP usually consists of multiple, diffuse, intraretinal hemorrhages that occur within minutes of ROP examination and resolve within a few weeks without any other ocular findings or sequelae. PSHE seems to represent a form of ocular decompression retinopathy.

scholarly journals X-Linked Retinoschisis and a Coats-Like Response in the Setting of Retinopathy of Prematurity

2020 ◽  
Vol 4 (6) ◽  
pp. 525-529
Author(s):  
Kenneth C. Fan ◽  
Mark A. McAllister ◽  
Nicolas A. Yannuzzi ◽  
Nimesh A. Patel ◽  
Supalert Prakhunhungsit ◽  
...  
Keyword(s):  
Case Report ◽  
Young Patient ◽  
Retinopathy Of Prematurity ◽  
Laser Photocoagulation ◽  
Imaging Findings ◽  
Unique Combination ◽  
Unique Case ◽  
Anti Vegf ◽  
History Of

Purpose: This case report describes a unique case of a young patient with retinopathy of prematurity (ROP), a unilateral Coats-like response, and X-linked retinoschisis (XLRS). Methods: A 9-year-old boy with a history of regressed ROP presented with a unilateral Coats-like response, subretinal exudation, and XLRS. Examination and imaging findings demonstrated a highly unique combination of bilateral retinoschisis and a dramatic unilateral Coats-like response with a large schisis cavity. Results: Treatment with laser photocoagulation and anti-VEGF therapy led to resolution of the subretinal exudative changes. Conclusions: This is the first published description to our knowledge of a patient with a Coats-like response, XLRS, and a history of regressed ROP with resolution after treatment.

scholarly journals Acute Parotitis after Lower Limb Amputation: A Case Report of a Rare Complication

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Konstantinos Ioannis Avgerinos ◽  
Nikolaos Degermetzoglou ◽  
Sofia Theofanidou ◽  
Georgia Kritikou ◽  
Ioannis Bountouris
Keyword(s):  
Risk Factors ◽  
Case Report ◽  
General Anesthesia ◽  
Lower Limb ◽  
Rare Complication ◽  
Head Tilt ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
The Right ◽  
Type Of Surgery

Background. Postoperative parotitis is a rare complication that occurs usually after abdominal surgery. Parotitis has never been described as a complication of vascular operations, in literature. In the present article, we describe a case of a postamputation parotitis along with its management and its possible pathogenesis. Case Report. An 83-year-old diabetic man was emergently admitted to hospital because of gangrene below the right ankle and sepsis. The patient underwent a lower limb amputation above the knee. On the 5th postoperative day, he was diagnosed with right parotitis probably because of dehydration, general anesthesia, and immunocompromisation. A CT scan confirmed the diagnosis. He received treatment with antibiotics and fluids. His condition gradually improved, and he was finally discharged on 15th postoperative day. Conclusions. Postoperative parotitis can possibly occur after any type of surgery including vascular. Clinicians should be aware of this complication although it is rare. Several risk factors such as dehydration, general anesthesia, drugs, immunocompromisation, head tilt during surgery, and stones in Stensen’s duct may predispose to postoperative parotitis. Treatment consists of antibiotics and hydration.

scholarly journals Bilateral Coats’ Disease Combined with Retinopathy of Prematurity

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Huseyin Gursoy ◽  
Nazmiye Erol ◽  
Mustafa Deger Bilgec ◽  
Hikmet Basmak ◽  
Ozden Kutlay ◽  
...  
Keyword(s):  
Diode Laser ◽  
Retinopathy Of Prematurity ◽  
Laser Photocoagulation ◽  
Intravitreal Bevacizumab ◽  
Retinal Hemorrhages ◽  
First Report ◽  
Postmenstrual Age ◽  
Coats Disease ◽  
The Right ◽  
Additional Therapy

Purpose. To report a case of bilateral Coats’ disease combined with retinopathy of prematurity (ROP).Case. Retinal vascularization was complete in the right eye, whereas zone III, stage 3 ROP and preplus disease were observed in the left eye at 43 weeks of postmenstrual age (PMA) in a 31-week premature, 1200-g neonate. Intraretinal exudates developed and retinal hemorrhages increased in the left eye at 51 weeks of PMA. Diode laser photocoagulation (LP) was applied to the left eye. Exudates involved the macula, and telangiectatic changes developed one month following LP. Additional LP was applied to the left eye combined with intravitreal bevacizumab (IVB) injection at 55 weeks of PMA. Disease regressed one month after the additional therapy. At the 14-month examination of the baby, telangiectatic changes and intraretinal exudates were observed in the right eye. Diode LP was applied to the right eye combined with IVB injection. Exudates did not resolve completely, and cryotherapy was applied one month following LP. Retinal findings regressed three months following the cryotherapy.Conclusion. This is the first report of presumed bilateral Coats’ disease combined with ROP. If Coats’ disease could be diagnosed at early stages, it would be a disease associated with better prognosis.

scholarly journals Ocular Decompression Retinopathy after Anterior Chamber Paracentesis for Neovascular Glaucoma

Medicina ◽  
2021 ◽  
Vol 57 (10) ◽  
pp. 1038
Author(s):  
Yung-En Tsai ◽  
Cherng-Ru Hsu
Keyword(s):  
Intraocular Pressure ◽  
Medical Treatment ◽  
Anterior Chamber ◽  
Rare Complication ◽  
Neovascular Glaucoma ◽  
Rapid Decline ◽  
Anterior Chamber Paracentesis ◽  
Iop Elevation ◽  
Decompression Retinopathy ◽  
Intraretinal Hemorrhages

Ocular decompression retinopathy (ODR) is a rare complication associated with intraocular pressure (IOP)-lowering interventions. We report a case of neovascular glaucoma in the left eye with marked IOP elevation (33 mmHg in the left eye). The IOP in the left eye did not improve despite medical treatment. Paracentesis of the left eye was then performed, and the IOP in the left eye decreased to 9 mmHg. One day after the procedure, several intraretinal hemorrhages, Roth spots, and subhyaloid hemorrhages appeared in the fundus of the left eye. Left eye retinopathy was likely ODR because of the rapid decline in IOP.

scholarly journals Bilateral Ocular Decompression Retinopathy after Ahmed Valve Implantation for Uveitic Glaucoma

2016 ◽  
Vol 7 (3) ◽  
pp. 505-510 ◽  
Author(s):  
Javier Flores-Preciado ◽  
David Arturo Ancona-Lezama ◽  
Carlos Andrés Valdés-Lara ◽  
Gian Franco Díez-Cattini ◽  
Itziar Coloma-González
Keyword(s):  
Visual Acuity ◽  
Case Report ◽  
Postoperative Period ◽  
Rare Complication ◽  
Spontaneous Resolution ◽  
Filtering Surgery ◽  
Uveitic Glaucoma ◽  
Ahmed Valve ◽  
Valve Implantation ◽  
Decompression Retinopathy

Case Report: We report the case of a 29-year-old man who underwent Ahmed valve implantation in both eyes as treatment for uveitic glaucoma, subsequently presenting with bilateral ocular decompression retinopathy in the postoperative period. Discussion: Ocular decompression retinopathy is a rare complication of filtering surgery in patients with glaucoma; however, the course is benign in most cases, with spontaneous resolution of bleedings and improvement of visual acuity.

Coincidental ocular findings during retinopathy of prematurity telescreening of 9105 neonates

2021 ◽  
pp. 112067212110013
Author(s):  
Ratnesh Ranjan ◽  
Abhishek Das ◽  
Subramaniam Prema ◽  
Parag K Shah ◽  
Narendran Venkatapathy
Keyword(s):  
Retinopathy Of Prematurity ◽  
Digital Imaging ◽  
Congenital Cataract ◽  
Surgical Intervention ◽  
Anterior Segment ◽  
Posterior Segment ◽  
Visual Rehabilitation ◽  
Premature Babies ◽  
Ocular Findings ◽  
Life Threatening

Purpose: To describe the magnitude and spectrum of abnormal ocular findings other than retinopathy of prematurity (ROP) detected during an ROP telescreening programme. Methods: Retrospective review of the records of all premature babies screened for ROP from August 2015 to December 2019. Results: A total 9105 babies were screened during the study period with total 17,075 imaging sessions. Non-ROP ocular abnormalities were seen in 566 eyes of 383 babies (4.2%) including 207 male (54%) and 176 female babies (46%). Posterior segment abnormalities were seen in 88.2% babies (338/383) with haemorrhage being the most common (77%, 295/383). Anterior segment pathologies were seen in 12% babies (46/383) with congenital cataract being the most common pathology requiring surgical intervention. Other findings included globe abnormalities in 0.8% babies (3/383), adnexal disorders in 0.5% babies (2/383) and squint in 0.3% babies (1/383). Rare life-threatening conditions such as retinoblastoma and lipaemia retinalis were also detected. Eighty-seven babies (22.7%) were diagnosed with referral-warranted non-ROP pathologies, with an overall prevalence of 1% (87/9105). Prompt surgical intervention was advised for 7.3% babies (28/383), 3.4% babies (13/383) were treated medically and 4.2% babies (16/383) needed visual rehabilitation for non-amenable pathologies. Conclusion: This is the largest study describing the magnitude and spectrum of neonatal ocular pathologies other than ROP in a cohort of premature babies. Digital imaging has a significant impact on early detection and timely intervention for various vision as well as life-threatening non-ROP pathologies, which would have been missed or delayed otherwise.

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