Decompression retinopathy following nonpenetrating deep sclerectomy for primary congenital glaucoma

Ramtohul, Prithvi; Chardavoine, Maëva; Beylerian, Marie; Aziz, Azliana; Matonti, F.; Denis, D.

doi:10.1186/s12886-018-0906-z

Cited by 9 publications

(9 citation statements)

References 29 publications

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“…However, special consideration should be taken in pediatric patient because the high risk of developing amblyopia which may require prompt treatment. 4 In our patient, the retinal hemorrhages spontaneously recovered during the first postoperative month and the VA gradually returned to preoperative levels without sequelae. The average time to resolution previously described was 13 ± 12.4 weeks.…”

Section: Discussionsupporting

confidence: 53%

“…Moreover, a unique case of ODR has been described in a newborn after NPDS and trabeculotomy for primary congenital glaucoma. 4 Tubulointerstitial nephritis and uveitis (TINU) syndrome is also a rare condition characterized by a combination of idiopathic acute TINU in the absence of other systemic diseases, recognized by diagnosis of exclusion. We report an 8-year-old girl with TINU syndrome and ocular hypertension (OHT) associated with recurrent episodes of uveitis and chronic use of steroids who developed a bilateral ODR after NPDS with mitomycin C (MMC).…”

Section: Introductionmentioning

confidence: 99%

“…Moreover, a unique case of ODR has been described in a newborn after NPDS and trabeculotomy for primary congenital glaucoma. 4…”

Section: Introductionmentioning

confidence: 99%

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Bilateral decompression retinopathy after deep sclerectomy with mitomycin C in a child with tubulointerstitial nephritis and uveitis syndrome

Muñoz‐Negrete

Díez-Álvarez

García

et al. 2019

European Journal of Ophthalmology

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Introduction: To report the first case of bilateral ocular decompression retinopathy after uneventful non-perforating deep sclerectomy with mitomycin C in a child with tubulointerstitial nephritis and uveitis syndrome. Case description: An 8-year-old girl affected by tubulointerstitial nephritis and uveitis syndrome developed ocular hypertension (45 mmHg in the right eye and 42 mmHg in the left eye) associated with recurrent episodes of uveitis and chronic use of steroids despite maximum hypotensive medical treatment. Bilateral non-perforating deep sclerectomy with mitomycin C (0.2 mg/mL, 1 min) was performed under general anesthesia without complications. The first postoperative day, the visual acuity was reduced to 0.6 in the right eye and 0.05 in the left eye and the intraocular pressure was 3 mmHg in both eyes. Fundoscopy revealed bilateral optic nerve swelling and diffuse retinal hemorrhages, some of them with scattered-white centers. About 2 months after surgery, the visual acuity was normal and the fundus examination showed complete resolution. Conclusion: The ocular decompression retinopathy is an uncommon complication after non-perforating deep sclerectomy. This is the first case of bilateral ocular decompression retinopathy reported after non-perforating deep sclerectomy in a child with ocular hypertension secondary to recurrent uveitis and chronic use of steroids associated with tubulointerstitial nephritis and uveitis syndrome.

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Section: Discussionsupporting

confidence: 53%

Section: Introductionmentioning

confidence: 99%

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Bilateral decompression retinopathy after deep sclerectomy with mitomycin C in a child with tubulointerstitial nephritis and uveitis syndrome

Muñoz‐Negrete

Díez-Álvarez

García

et al. 2019

European Journal of Ophthalmology

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“…The success of this procedure in addressing glaucoma in adults has encouraged some surgeons to perform NPDS for treating PCG in children. [17][18][19][20] The aim of the current study was to evaluate the safety and efficacy of non-penetrating deep sclerectomy with a collagen implant versus trabeculectomy in primary congenital glaucoma.…”

Section: Introductionmentioning

confidence: 99%

<p>Non-Penetrating Deep Sclerectomy versus Trabeculectomy in Primary Congenital Glaucoma</p>

Elhofi¹,

Helaly²

2020

OPTH

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Purpose: To evaluate the safety and efficacy of non-penetrating deep sclerectomy with a collagen implant versus trabeculectomy in primary congenital glaucoma. Subjects and Methods: This was a retrospective interventional comparative nonrandomized clinical study that included 80 eyes of 80 children presenting with primary congenital glaucoma under the age of 3 years. Forty eyes have undergone non-penetrating deep sclerectomy (NPDS) and the other 40 eyes have undergone penetrating trabeculectomy. The main outcome measure was the reduction in intraocular pressure (IOP). Secondary outcomes included percentage of patients with complete and qualified success, need for topical antiglaucoma medications, rate of complications, and need for further interventions. Complete success of the surgical outcome was considered an IOP ≤16 mmHg with no antiglaucoma medications. Qualified success was considered an IOP ≤16 mmHg using antiglaucoma medications. Results: The mean preoperative IOP was 27.4 ± 6.9 and 28.5 ± 6.6 mmHg in NPDS and trabeculectomy groups, respectively (p = 0.175). At the end of the follow-up period, the mean IOP was 11.2 ± 4.5 and 11.1 ± 3.4 mmHg with a mean reduction of 16.2 and 17.4 mmHg in NPDS and trabeculectomy groups, respectively. At the end of the follow-up period, ie at 36 months postoperative, the complete success rate was 60% (24 eyes) versus 57.5% (23 eyes), the qualified success rate was 25% (10 eyes) versus 25% (10 eyes), the overall success rate was 85% (34 eyes) versus 82.5% (33 eyes), and the rate of failure was 15% (6 eyes) versus 17.5% (7 eyes) in NPDS and trabeculectomy groups, respectively (p = 0.952). Eight cases (20%) of the trabeculectomy group had shallow anterior chamber. None of the NPDS group cases suffered from shallow anterior chamber. Conclusion: Non-penetrating deep sclerectomy appears to be an efficient and safe surgical alternative to penetrating trabeculectomy in treatment of primary congenital glaucoma. Nonpenetrating deep sclerectomy has fewer postoperative complications in comparison to penetrating trabeculectomy with a comparative postoperative reduction in the intraocular pressure and overall success rates. Trial Registration: The trial was registered on 11/01/2020 with number PACTR202002874953456 (https://pactr.samrc.ac.za).

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“…Decompression retinopathy presents with hemorrhages occurring in all retinal layers. ODR has been reported following both medical and surgical procedures and in various types of glaucoma including congenital glaucoma [2]. Previously reported cases of ODR have occurred up to 14 days postoperatively [3].…”

Section: Introductionmentioning

confidence: 99%

Immediate Manifestation of Ocular Decompression Retinopathy following Anterior Chamber Paracentesis

Prince

Fleischman

2019

Case Rep Ophthalmol

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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.

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Decompression retinopathy following nonpenetrating deep sclerectomy for primary congenital glaucoma

Cited by 9 publications

References 29 publications

Bilateral decompression retinopathy after deep sclerectomy with mitomycin C in a child with tubulointerstitial nephritis and uveitis syndrome

Bilateral decompression retinopathy after deep sclerectomy with mitomycin C in a child with tubulointerstitial nephritis and uveitis syndrome

<p>Non-Penetrating Deep Sclerectomy versus Trabeculectomy in Primary Congenital Glaucoma</p>

Immediate Manifestation of Ocular Decompression Retinopathy following Anterior Chamber Paracentesis

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