Optical coherence tomography findings in ocular decompression retinopathy.
Three days following trabeculectomy surgery, a 47-year-old woman experienced a decline in visual acuity to 20/400. Fundus findings were consistent with decompression retinopathy, and optical coherence tomography revealed macular thickening, cystoid macular edema, and neurosensory macular detachment. The foveal anatomy normalized following topical treatment, and visual acuity returned to 20/30 by 10 weeks postoperatively. Both macular detachment and cystoid macular edema may contribute to acute decline in visual acuity in decompression retinopathy. Optical coherence tomography facilitated the prompt detection of treatable pathology, which resolved following appropriate medical therapy.
Bui
Christina M
CM
Vanderbilt Eye Institute, Nashville, Tennessee 37232, USA.
Recchia
Franco M
FM
Recchia
Cynthia C
CC
Kammer
Jeffrey A
JA
D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D000903:Antibiotics, Antineoplastic / Q000008:administration & dosage; D005260:Female; D005902:Glaucoma, Open-Angle / Q000601:surgery; D006801:Humans; D007429:Intraocular Pressure; D020910:Ketorolac / Q000627:therapeutic use; D008266:Macula Lutea / Q000473:pathology*; D008269:Macular Edema / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D008875:Middle Aged; D016685:Mitomycin / Q000008:administration & dosage; D012163:Retinal Detachment / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D012166:Retinal Hemorrhage / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D041623:Tomography, Optical Coherence; D014130:Trabeculectomy
D000894:Anti-Inflammatory Agents, Non-Steroidal; D000903:Antibiotics, Antineoplastic; D016685:Mitomycin; D020910:Ketorolac