Decompression retinopathy and possible risk factors.
OBJECTIVE
To discuss the underlying mechanisms in decompression retinopathy.


METHODS
Report of two cases.


RESULTS
Retinal hemorrhages secondary to decompression retinopathy occurred following combined trabeculotomy-trabeculectomy with mitomycine-C (MMC) in one eye of a case of congenital glaucoma and pars plana vitrectomy-lensectomy in a case of vitreous condensation secondary to pars planitis. Both cases were operated under general anesthesia. Postoperative hypotony did not take place in either eye. The same surgical procedure was performed on the other eye of the patient with congenital glaucoma 1 week apart. Postoperative decompression retinopathy was not seen in this eye despite hypotony was recorded.


CONCLUSIONS
Valsalva manoeuvre, hypotony and other factors may play a role individually or in combination in the pathogenesis of decompression retinopathy.
Saricaoglu
Murat Sinan
MS
Department of Ophthalmology, Ankara Numune Training and Research Hospital, Turkey. msinansarica@yahoo.com
Kalayci
Defne
D
Guven
Dilek
D
Karakurt
Ahmet
A
Hasiripi
Hikmet
H
D002648:Child; D019299:Decompression, Surgical / Q000009:adverse effects*; D005128:Eye Diseases / Q000209:etiology / Q000601:surgery; D005901:Glaucoma / Q000151:congenital / Q000601:surgery; D006801:Humans; D007429:Intraocular Pressure; D008297:Male; D016685:Mitomycin / Q000008:administration & dosage; D015868:Pars Planitis / Q000150:complications; D012166:Retinal Hemorrhage / Q000175:diagnosis / Q000209:etiology*; D012307:Risk Factors; D014130:Trabeculectomy / Q000009:adverse effects*; D014636:Valsalva Maneuver; D014821:Vitrectomy / Q000009:adverse effects*; D014822:Vitreous Body / Q000473:pathology / Q000601:surgery
D016685:Mitomycin