Decompression retinopathy following nonpenetrating deep sclerectomy for primary congenital glaucoma
Abstract Background To describe a unique case of decompression retinopathy manifesting as pre-macular subhyaloid hemorrhage that occurs in a nine-day old child after undergoing a non-penetrating deep sclerectomy for primary congenital glaucoma. Case presentation We report a single case of a 9-day-ol...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2018-09-01
|
| Series: | BMC Ophthalmology |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12886-018-0906-z |
| _version_ | 1818278508901695488 |
|---|---|
| author | Prithvi Ramtohul Maëva Chardavoine Marie Beylerian Aurore Aziz Frédéric Matonti Danièle Denis |
| author_facet | Prithvi Ramtohul Maëva Chardavoine Marie Beylerian Aurore Aziz Frédéric Matonti Danièle Denis |
| author_sort | Prithvi Ramtohul |
| collection | DOAJ |
| description | Abstract Background To describe a unique case of decompression retinopathy manifesting as pre-macular subhyaloid hemorrhage that occurs in a nine-day old child after undergoing a non-penetrating deep sclerectomy for primary congenital glaucoma. Case presentation We report a single case of a 9-day-old boy who was referred to our department of ophthalmology for bilateral buphtalmia and corneal edema. He presented marked elevation of the intraocular pressure in both eyes (22 mmHg and 26 mmHg, in the right eye and left eye respectively) associated with significant optic nerve cupping. Non-penetrating deep sclerectomy was performed for each eye, with effective reduction of the intraocular pressure during the first week postoperatively (11 mmHg and 7 mmHg in the right eye and left eye respectively). The right eye presented an isolated subhyaloid hemorrhage located in the pre-macular area, persisting 3 weeks after the initial surgery and requiring pars-plana vitrectomy to clear the visual axis. This uncommon complication was identified as decompression retinopathy. The intraocular pressure remained controlled in the normal range three years after initial surgery in both eyes, with reversal of optic disc cupping. Conclusions Decompression retinopathy is a potential complication after non-penetrating deep sclerectomy in primary congenital glaucoma, requiring prompt treatment strategy to prevent potential organic amblyopia. |
| first_indexed | 2024-12-12T23:18:33Z |
| format | Article |
| id | doaj.art-048a408351ec4d65aeb79012ee6aab1a |
| institution | Directory Open Access Journal |
| issn | 1471-2415 |
| language | English |
| last_indexed | 2024-12-12T23:18:33Z |
| publishDate | 2018-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Ophthalmology |
| spelling | doaj.art-048a408351ec4d65aeb79012ee6aab1a2022-12-22T00:08:21ZengBMCBMC Ophthalmology1471-24152018-09-011811510.1186/s12886-018-0906-zDecompression retinopathy following nonpenetrating deep sclerectomy for primary congenital glaucomaPrithvi Ramtohul0Maëva Chardavoine1Marie Beylerian2Aurore Aziz3Frédéric Matonti4Danièle Denis5Centre Hospitalier Universitaire de l’Hôpital NordCentre Hospitalier Henri Duffaut d’AvignonCentre Hospitalier Universitaire de l’Hôpital NordCentre Hospitalier Universitaire de l’Hôpital NordCentre Hospitalier Universitaire de l’Hôpital NordCentre Hospitalier Universitaire de l’Hôpital NordAbstract Background To describe a unique case of decompression retinopathy manifesting as pre-macular subhyaloid hemorrhage that occurs in a nine-day old child after undergoing a non-penetrating deep sclerectomy for primary congenital glaucoma. Case presentation We report a single case of a 9-day-old boy who was referred to our department of ophthalmology for bilateral buphtalmia and corneal edema. He presented marked elevation of the intraocular pressure in both eyes (22 mmHg and 26 mmHg, in the right eye and left eye respectively) associated with significant optic nerve cupping. Non-penetrating deep sclerectomy was performed for each eye, with effective reduction of the intraocular pressure during the first week postoperatively (11 mmHg and 7 mmHg in the right eye and left eye respectively). The right eye presented an isolated subhyaloid hemorrhage located in the pre-macular area, persisting 3 weeks after the initial surgery and requiring pars-plana vitrectomy to clear the visual axis. This uncommon complication was identified as decompression retinopathy. The intraocular pressure remained controlled in the normal range three years after initial surgery in both eyes, with reversal of optic disc cupping. Conclusions Decompression retinopathy is a potential complication after non-penetrating deep sclerectomy in primary congenital glaucoma, requiring prompt treatment strategy to prevent potential organic amblyopia.http://link.springer.com/article/10.1186/s12886-018-0906-zCongenital glaucomaDecompression retinopathyDeep sclerectomySubhyaloid hemorrhageTrabeculotomyVitrectomy |
| spellingShingle | Prithvi Ramtohul Maëva Chardavoine Marie Beylerian Aurore Aziz Frédéric Matonti Danièle Denis Decompression retinopathy following nonpenetrating deep sclerectomy for primary congenital glaucoma BMC Ophthalmology Congenital glaucoma Decompression retinopathy Deep sclerectomy Subhyaloid hemorrhage Trabeculotomy Vitrectomy |
| title | Decompression retinopathy following nonpenetrating deep sclerectomy for primary congenital glaucoma |
| title_full | Decompression retinopathy following nonpenetrating deep sclerectomy for primary congenital glaucoma |
| title_fullStr | Decompression retinopathy following nonpenetrating deep sclerectomy for primary congenital glaucoma |
| title_full_unstemmed | Decompression retinopathy following nonpenetrating deep sclerectomy for primary congenital glaucoma |
| title_short | Decompression retinopathy following nonpenetrating deep sclerectomy for primary congenital glaucoma |
| title_sort | decompression retinopathy following nonpenetrating deep sclerectomy for primary congenital glaucoma |
| topic | Congenital glaucoma Decompression retinopathy Deep sclerectomy Subhyaloid hemorrhage Trabeculotomy Vitrectomy |
| url | http://link.springer.com/article/10.1186/s12886-018-0906-z |
| work_keys_str_mv | AT prithviramtohul decompressionretinopathyfollowingnonpenetratingdeepsclerectomyforprimarycongenitalglaucoma AT maevachardavoine decompressionretinopathyfollowingnonpenetratingdeepsclerectomyforprimarycongenitalglaucoma AT mariebeylerian decompressionretinopathyfollowingnonpenetratingdeepsclerectomyforprimarycongenitalglaucoma AT auroreaziz decompressionretinopathyfollowingnonpenetratingdeepsclerectomyforprimarycongenitalglaucoma AT fredericmatonti decompressionretinopathyfollowingnonpenetratingdeepsclerectomyforprimarycongenitalglaucoma AT danieledenis decompressionretinopathyfollowingnonpenetratingdeepsclerectomyforprimarycongenitalglaucoma |