Ocular Decompression Retinopathy with Macular Edema after Deep Sclerectomy with Intrascleral Implantation
Díaz Aljaro, Pablo (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Loscos Arenas, Jordi (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Broc Iturralde, Laura (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Carbonell Puig, Marc (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Romera Romero, Pau (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Universitat Autònoma de Barcelona

Data:	2020
Resum:	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.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Glaucoma ; Glaucoma filtrating surgery ; Maculopathy ; Deep sclerectomy
Publicat a:	Case Reports in Ophthalmology, Vol. 11 (april 2020) , p. 151-155, ISSN 1663-2699

DOI: 10.1159/000507109
PMID: 32355500

5 p, 332.6 KB

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Documents de recerca > Documents dels grups de recerca de la UAB > Centres i grups de recerca (producció científica) > Ciències de la salut i biociències > Institut d'Investigació en Ciencies de la Salut Germans Trias i Pujol (IGTP)
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