Ocular Decompression Retinopathy after Anterior Chamber Paracentesis for Neovascular Glaucoma

Yung-En Tsai; Cherng-Ru Hsu

doi:10.3390/medicina57101038

Ocular Decompression Retinopathy after Anterior Chamber Paracentesis for Neovascular Glaucoma

Medicina (Kaunas). 2021 Sep 29;57(10):1038. doi: 10.3390/medicina57101038.

Authors

Yung-En Tsai^{1

2}, Cherng-Ru Hsu²

Affiliations

¹ Department of Ophthalmology, Kaohsiung Armed Forces General Hospital, Kaohsiung 802, Taiwan.
² Department of Ophthalmology, Tri-Service General Hospital, National Defense Medical Center, Taipei 114, Taiwan.

Abstract

Ocular decompression retinopathy (ODR) is a rare complication associated with intraocular pressure (IOP)-lowering interventions. We report a case of neovascular glaucoma in the left eye with marked IOP elevation (33 mmHg in the left eye). The IOP in the left eye did not improve despite medical treatment. Paracentesis of the left eye was then performed, and the IOP in the left eye decreased to 9 mmHg. One day after the procedure, several intraretinal hemorrhages, Roth spots, and subhyaloid hemorrhages appeared in the fundus of the left eye. Left eye retinopathy was likely ODR because of the rapid decline in IOP.

Keywords: anterior chamber paracentesis; neovascular glaucoma; ocular decompression retinopathy.

Publication types

Case Reports

MeSH terms

Anterior Chamber
Decompression
Glaucoma, Neovascular* / etiology
Humans
Intraocular Pressure
Paracentesis / adverse effects
Retinal Diseases*