Decompression Retinopathy after ExPRESS Shunt Implantation for Steroid-Induced Ocular Hypertension: A Case Report. (21st December 2011)

• Record Type: Journal Article
• Authors: Abu Samra, Khawla; Fernando Sieminski, Sandra; Sarup, Vimal
• Other Names: Kim J. S. Academic Editor.; Rosa N. Academic Editor.; Venkatesh P. Academic Editor.
• Is Part Of: Case reports in ophthalmological medicine. Volume 2011(2011)
• Publication Date: 2011-12-21
• Subjects: Ophthalmology -- Periodicals; Eye -- Diseases -- Periodicals; Ophthalmology; Eye Diseases; Eye -- Diseases; Ophthalmology; Electronic journals; Periodicals; Periodicals; Case Reports; Fulltext; Internet Resources; Periodicals; 617.7
• DOI: 10.1155/2011/303287
• Languages: English
• ISSNs: 2090-6722

Abstract

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.