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.

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 INTRAVITREAL INTRODUCTION OF LUCENTIS AND TRANS-SCLERAL CYCLOPHOTOCOAGULATION IN THE TREATMENT OF NEOVASCULAR GLAUCOMA IN DIABETES MELLITUS

2016 ◽  
Vol 1 (6) ◽  
pp. 122-124
Author(s):  
Ефремова ◽  
Tatyana Efremova ◽  
Балалин ◽  
Sergey Balalin ◽  
Фокин ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Intraocular Pressure ◽  
Anterior Chamber ◽  
Laser Surgery ◽  
Neovascular Glaucoma ◽  
Mean Value ◽  
Anterior Chamber Angle ◽  
Second Stage ◽  
Anti Vegf ◽  
Chamber Angle

We analyzed the results of surgical treatment of 42patients (42eyes) with neovascular glaucoma on the background of proliferative diabetic retinopathy. Intravitreal injections of anti-VEGF-drugs allow to remove newly formed vessels in anterior chamber angle, to reduce intraocular pressure, to avoid complications in patients with neovascular glaucoma and the closed anterior chamber angle of the eye. The second stage of the treatment can be laser surgery. This approach helped to reduce intraocular pressure from 28.9±0.9 to 18.5±0.9mmHg on the background of medical treatment (t>2.0; p<0.05). Visual acuity increased from 0.23±0.07 to 0.44±0.08 (t>2.0; p<0.05).In patients with NVG and closed anterior chamber angle of the eye, having aching glaucoma the use of laser surgery as the first stage of treatment allows to reduce intraocular pressure and to eliminate pain, and to apply intravitreal anti-VEGF-therapy as the second stage. The mean value of IOP decreased from 30.9±1.2 to 20.1±1.1mmHg. During the year period, the second stage (intravitreal introduction of Lucentis) was performed in all patients. As a result, IOP was reduced to 17.5±0.09mmHg. Visual acuity increased from 0.18±0.1 to 0.25±0.07 (p>0.05).

scholarly journals Immediate Manifestation of Ocular Decompression Retinopathy following Anterior Chamber Paracentesis

2019 ◽  
Vol 10 (2) ◽  
pp. 287-291 ◽  
Author(s):  
Jamie Prince ◽  
David Fleischman
Keyword(s):  
Visual Acuity ◽  
Anterior Chamber ◽  
Primary Open Angle Glaucoma ◽  
Open Angle Glaucoma ◽  
Open Angle ◽  
Light Perception ◽  
Laser Trabeculoplasty ◽  
Anterior Chamber Paracentesis ◽  
The Right ◽  
Decompression Retinopathy

Ocular decompression retinopathy (ODR) is a complication of rapid lowering of intraocular pressure (IOP) resulting in hemorrhages in multiple retinal layers. We report a case of ODR that developed within minutes following anterior chamber paracentesis in an adult female with primary open-angle glaucoma. A 61-year-old Black woman with primary open-angle glaucoma presented with marked elevation of IOP (46 mm Hg in the right eye and 30 mm Hg in the left) despite maximal medical therapy and bilateral selective laser trabeculoplasty. Vision in the right eye decreased from counting fingers at 3 feet 1 week earlier to no light perception at the time of presentation. Anterior chamber paracentesis was performed on the right eye to reduce IOP and stabilize the eye until further surgical intervention could be performed. IOP in the right eye decreased to 6 mm Hg postoperatively. Within minutes of the procedure, several intraretinal blot hemorrhages appeared in the periphery of the right eye. During this time, visual acuity remained at no light perception. The findings were consistent with decompression retinopathy. By 12 weeks postoperatively, the ODR had resolved with visual acuity of light perception and normal fundoscopy except for profound cupping. Our case demonstrates how rapidly ocular decompression can form following IOP reduction.

Sign in / Sign up

Export Citation Format

Share Document