|Year : 2021 | Volume
| Issue : 4 | Page : 878
Ocular decompression retinopathy
Devashish Dubey1, Devika Singh2
1 Department of Vitreoretina, Sankara Eye Hospital, Jaipur, Rajasthan, India
2 Department of Cornea, Sankara Eye Hospital, Jaipur, Rajasthan, India
|Date of Web Publication||09-Oct-2021|
Dr. Devashish Dubey
Department of Vitreoretina Sankara Eye Hospital, Vidyadhar Nagar, Jaipur, Rajasthan - 302 039
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Dubey D, Singh D. Ocular decompression retinopathy. Indian J Ophthalmol Case Rep 2021;1:878
Ocular decompression retinopathy is a rare complication of the rapid lowering of the intraocular pressure resulting in white-centered multilayer retinal hemorrhages. Rapid lowering of the Intraocular pressure (IOP) leads to a sudden increase in the blood flow through the capillary bed causing multiple focal leaks presenting as blot hemorrhages. These capillaries are repaired with a fibrin plug appearing as a white center in the deep hemorrhages., We report a case of a 67-year-old female who developed “white-centered retinal hemorrhages” post-trabeculectomy with mitomycin-C (MMC) application [Figure 1]. The patient reported an initial drop in BCVA (best-corrected visual acuity) from 20/200 preoperatively to 20/500 on the first postoperative day, which she eventually regained after 1 month of surgery, with favorable IOP control.
|Figure 1: Left eye fundus photograph showing multiple white-centered (white arrow) multilayer retinal hemorrhages involving the macula and the periphery after trabeculectomy with MMC application. Sclerosed vessels suggestive of an old retinal vein occlusion were present in the inferior quadrant.|
Click here to view
Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
Financial support and sponsorship
Conflicts of interest
There are no conflicts of interest.
| References|| |
Fechtner RD, Minckler D, Weinreb RN, Frangei G, Jampol LM. Complications of glaucoma surgery: Ocular decompression retinopathy. Arch Ophthalmol 1992;110:965-8.
Dudley DF, Leen MM, Kinyoun JL, Mills RP. Retinal hemorrhages associated with ocular decompression after glaucoma surgery. Ophthalmic Surg Lasers 1996;27:147-50.
Bansal A, Ramanathan US. Ocular decompression retinopathy after trabeculectomy with mitomycin-C for angle recession glaucoma. Indian J Ophthalmol Case Rep2009;57:153-4.
] [Full text]