Ocular Decompression Retinopathy after Deep Sclerectomy with Mitomycin C in an Eye with Exfoliation Glaucoma

Kozobolis, Vassilios; Kalogianni, Eleni; Katsanos, Andreas; Dardabounis, Doukas; Koukoula, Stavrenia; Labiris, Georgios

doi:10.5301/ejo.2010.5731

Cited by 16 publications

(13 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It is characterized by multiple foci of hemorrhages that may affect all layers of the retina. There are few published cases of decompression retinopathy and, to the best of our knowledge, there is only one reported case of decompression retinopathy occurring after non-penetrating deep sclerectomy [17]. …”

Section: Introductionmentioning

confidence: 99%

Decompression retinopathy following nonpenetrating deep sclerectomy for primary congenital glaucoma

Ramtohul

Chardavoine²,

Beylerian

et al. 2018

BMC Ophthalmol

View full text Add to dashboard Cite

BackgroundTo describe a unique case of decompression retinopathy manifesting as pre-macular subhyaloid hemorrhage that occurs in a nine-day old child after undergoing a non-penetrating deep sclerectomy for primary congenital glaucoma.Case presentationWe report a single case of a 9-day-old boy who was referred to our department of ophthalmology for bilateral buphtalmia and corneal edema. He presented marked elevation of the intraocular pressure in both eyes (22 mmHg and 26 mmHg, in the right eye and left eye respectively) associated with significant optic nerve cupping.Non-penetrating deep sclerectomy was performed for each eye, with effective reduction of the intraocular pressure during the first week postoperatively (11 mmHg and 7 mmHg in the right eye and left eye respectively). The right eye presented an isolated subhyaloid hemorrhage located in the pre-macular area, persisting 3 weeks after the initial surgery and requiring pars-plana vitrectomy to clear the visual axis. This uncommon complication was identified as decompression retinopathy.The intraocular pressure remained controlled in the normal range three years after initial surgery in both eyes, with reversal of optic disc cupping.ConclusionsDecompression retinopathy is a potential complication after non-penetrating deep sclerectomy in primary congenital glaucoma, requiring prompt treatment strategy to prevent potential organic amblyopia.

show abstract

Section: Introductionmentioning

confidence: 99%

Decompression retinopathy following nonpenetrating deep sclerectomy for primary congenital glaucoma

Ramtohul

Chardavoine²,

Beylerian

et al. 2018

BMC Ophthalmol

View full text Add to dashboard Cite

show abstract

“…ODR has been shown to occur primarily after a trabeculectomy or glaucoma drainage devices, but rarely after an uncomplicated DS [2]. It is more common in uveitic [3] and exfoliation glaucoma [4].…”

Section: Discussionmentioning

confidence: 99%

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

Aljaro¹,

Arenas²,

Iturralde³

et al. 2020

Case Rep Ophthalmol

View full text Add to dashboard Cite

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.

show abstract

“…Fechtner et al also proposed that with acute IOP lowering, forward movement of the lamina cribrosa occurs, causing an acute blockage of axonal transport and subsequent decompression retinopathy [1]. Lastly, Kozobolis et al proposed that retinal toxicity with intraoperative mitomycin C use may potentiate decompression retinopathy [3]. …”

Section: Discussionmentioning

confidence: 99%

Decompression Retinopathy after ExPRESS Shunt Implantation for Steroid-Induced Ocular Hypertension: A Case Report

Samra

Sieminski

Sarup

2011

Case Reports in Ophthalmological Medicine

View full text Add to dashboard Cite

Purpose. To present a unique case of decompression retinopathy after the implantation of ExPRESS drainage device. Method. A 25-year-old female patient underwent implantation of ExPRESS drainage device in the left eye for the management of steroid-induced ocular hypertension. Results. On the postoperative day one, best-corrected visual acuity in the left eye was 20/50. Fundus examination revealed diffuse intraretinal hemorrhages, some white-centered, throughout the retina. There was also marked tortuosity to the retinal vasculature and no evidence of choroidal effusion. Intravenous fluorescein angiography and indocyanine green did not contribute to the aetiopathogenesis. Conclusion. Decompression retinopathy can occur following the implantation of ExPRESS drainage device. It is very important to be aware of this complication in patients with relatively high intraocular pressure who is planned for filtration surgery, including the ExPRESS implant.

show abstract

Ocular Decompression Retinopathy after Deep Sclerectomy with Mitomycin C in an Eye with Exfoliation Glaucoma

Abstract: Although decompression retinopathy has previously been described after penetrating glaucoma surgery, the condition can also occur after uncomplicated deep sclerectomy. Despite the dramatic presentation, the prognosis remains favorable.

Cited by 16 publications

References 7 publications

Decompression retinopathy following nonpenetrating deep sclerectomy for primary congenital glaucoma

Decompression retinopathy following nonpenetrating deep sclerectomy for primary congenital glaucoma

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

Decompression Retinopathy after ExPRESS Shunt Implantation for Steroid-Induced Ocular Hypertension: A Case Report

Contact Info

Product

Resources

About