Ocular decompression retinopathy

Introduction: Ocular decompression retinopathy (ODR) is a relatively rare entity with variable prognosis depending on extent and pre-existing condition. This article describes profile of two cases with a brief review of the condition.Case report: Case 1 highlights extensive choroidal detachment with subhyaloid haemorrhage and multiple intra-retinal hemorrhages in the posterior pole seen on first post-operative day in a 6 year old child with congenital glaucoma who underwent Trab & Trab. Case 2 describes multiple intraretinal hemorrhages seen at posterior pole on second post-operative day in a 24 year old pregnant lady with post traumatic cataract and secondary glaucoma who underwent cataract extraction with Cionni ring. Both patients had complete resolution of the haemorrhages with topical steroids.Conclusion: Ocular decompression retinopathy is mostly seen after operations on cases with advanced glaucoma and those with vulnerable blood flow fluidics. Adequate precautions to prevent this entity should be adopted during surgery and management of the manifest entity is conservative with good prognosis.

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A Case of Decompression Retinopathy After Resolution of Acute Primary Angle-Closure Glaucoma

Journal of the Korean Ophthalmological Society ◽

10.3341/jkos.2009.50.5.785 ◽

2009 ◽

Vol 50 (5) ◽

pp. 785

Author(s):

Joo Hoon Kim ◽

Jang Won Huh

Keyword(s):

Angle Closure Glaucoma ◽

Angle Closure ◽

Acute Primary Angle Closure ◽

Primary Angle Closure ◽

Primary Angle Closure Glaucoma ◽

Decompression Retinopathy

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Ocular Decompression Retinopathy with Macular Edema after Deep Sclerectomy with Intrascleral Implantation

Case Reports in Ophthalmology ◽

10.1159/000507109 ◽

2020 ◽

Vol 11 (1) ◽

pp. 151-155

Author(s):

Pablo Diaz Aljaro ◽

Jordi Loscos Arenas ◽

Laura Broc Iturralde ◽

Marc Carbonell Puig ◽

Pau Romera Romero

Keyword(s):

Visual Acuity ◽

Macular Edema ◽

Medical Therapy ◽

Open Angle Glaucoma ◽

Retinal Hemorrhage ◽

Eye Drops ◽

Medical Procedure ◽

Deep Sclerectomy ◽

Pars Plana ◽

Decompression Retinopathy

We report a case of ocular decompression retinopathy (ODR) with macular edema, diagnosed by optical coherence tomography, after a deep sclerectomy (DS) with an intrascleral implant, resolved with medical therapy 6 months later. The medical literature reports that in 14% of patients suffering from ODR, a pars plana vitrectomy was required, and 15% of patients had a poor final visual acuity. An otherwise healthy 75-year-old man with high myopia and a primary open-angle glaucoma, with previous intraocular pressure (IOP) of 24 mm Hg, underwent a DS with intrascleral implant without complications. The patient suffered postoperatively from ODR with macular edema that required medical therapy with nonsteroidal anti-inflammatory eye drops (Nepafenac® 0.3%) for a period of 6 months. ODR is an infrequent complication that may occur after any surgical or medical procedure that causes a sudden IOP decrease. The presence of macular edema is only reported in 5% of cases and can occur in patients who report a decreased visual acuity, commonly associated with a retinal hemorrhage. We have described a case of ODR with macular edema after DS with intrascleral implant. Although ODR is considered to cause a low level of morbidity, in some patients this may not be the case.

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Decompression Retinopathy Following Trabeculectomy: A Case Report

Nepalese Journal of Ophthalmology ◽

10.3126/nepjoph.v12i2.29247 ◽

2020 ◽

Vol 12 (2) ◽

pp. 323-327

Author(s):

Ekta Rishi ◽

Gitanjli Sood ◽

Mona Khurana ◽

Pukhraj Rishi

Keyword(s):

Macular Edema ◽

Open Angle Glaucoma ◽

Vitreous Hemorrhage ◽

Venous Stasis ◽

Topical Steroids ◽

Choroidal Detachment ◽

Vein Occlusion ◽

Venous Stasis Retinopathy ◽

The Right ◽

Decompression Retinopathy

Introduction: Decompression retinopathy (DR) can have varied manifestations as retinal and vitreous hemorrhage, disc edema, and macular edema. Vein occlusion associated with choroidal detachment (CD) has not been reported so far as a feature of DR. Case: We report a case of a 78 year old male with bilateral primary open angle glaucoma (POAG) on maximal topical medication with progressive field loss. Trabeculectomy with mitomycin C was done in the left eye, and the patient developed hypotony in the immediate postoperative period which was managed conservatively. After six weeks he developed CD, vein occlusion and macular edema. Thus, Anti VEGF was given and in other eye filtration surgery was done with all measures to avoid sudden hypotony. Patient still developed CD in the right eye. For which, he was given oral and topical steroids in tapering dose. After one month there was resolution of macular edema in the left eye and choroidal detachment resolved in both eyes and IOP was in lower teens in both eyes. Conclusion: Venous stasis retinopathy and choroidal detachment can be the manifestations of decompression retinopathy following glaucoma filtering surgery. The advancement in imaging modalities now can help us find the pathogenesis of the condition and validation of previous hypothesis proposed. Early identification and management of retinopathy helps in resolution with good visual recovery.

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