Abstract
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.
Highlights
Decompression retinopathy, characterized by the transient appearance of scattered retinal hemorrhages in the immediate postoperative period following glaucoma surgery, was first described in 1992 by Fechtner et al as a complication of trabeculectomy [1]
We present a unique case of decompression retinopathy following the implantation of an ExPRESS drainage device (Alcon Laboratories, Fort Worth, TX, USA) in a young patient with steroid-induced ocular hypertension following penetrating keratoplasty for keratoconus
Decompression retinopathy is a rare complication that typically appears after glaucoma surgery [1]
Summary
Decompression retinopathy, characterized by the transient appearance of scattered retinal hemorrhages in the immediate postoperative period following glaucoma surgery, was first described in 1992 by Fechtner et al as a complication of trabeculectomy [1]. The syndrome has been recognized in relation to other glaucoma penetrating procedures such as Ahmed valve implantation and deep sclerotomy as well as nonpenetrating procedures such as peripheral iridotomy [2,3,4,5,6]. We present a unique case of decompression retinopathy following the implantation of an ExPRESS drainage device (Alcon Laboratories, Fort Worth, TX, USA) in a young patient with steroid-induced ocular hypertension following penetrating keratoplasty for keratoconus
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