Multimodal Imaging Techniques in Monitoring a Patient with Ocular Decompression Retinopathy

Ocular decompression retinopathy (ODR) is characterized by multiple retinal hemorrhages. It is a rare complication associated with rapid decrease of intraocular pressure (IOP). The course of ODR is usually asymptomatic and self-limiting, which was confirmed by the observation of our patient. In this...

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Main Authors: Justyna Mędrzycka, Paulina Szabelska, Magdalena Rerych, Radosław Różycki, Joanna Gołębiewska
Format: Article
Language:English
Published: MDPI AG 2023-06-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/13/12/1992
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author Justyna Mędrzycka
Paulina Szabelska
Magdalena Rerych
Radosław Różycki
Joanna Gołębiewska
author_facet Justyna Mędrzycka
Paulina Szabelska
Magdalena Rerych
Radosław Różycki
Joanna Gołębiewska
author_sort Justyna Mędrzycka
collection DOAJ
description Ocular decompression retinopathy (ODR) is characterized by multiple retinal hemorrhages. It is a rare complication associated with rapid decrease of intraocular pressure (IOP). The course of ODR is usually asymptomatic and self-limiting, which was confirmed by the observation of our patient. In this study, we present a 5-month follow up of a 77-year-old woman with acute right eye (RE) filtration angle closure who developed symptoms of ODR. Clinical examination and multimodal imaging modalities, including color fundus photography, optical coherence tomography (OCT), OCT angiography (OCTA) and fluorescein angiography (FA), were used to confirm the diagnosis and performed regularly in monitoring the course of the disease. Fundus lesions in the RE included diffuse intraretinal hemorrhages in the posterior pole, which gradually resolved during follow-up time. The fundus of the left eye (LE) was normal. The patient underwent conservative therapy, laser therapy and surgery, achieving stabilization of the IOP and improvement of the local condition in the RE. Of the various multimodal imaging techniques, color fundus photography and OCT seemed to be the most specific and helpful in monitoring the patient with ODR.
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spelling doaj.art-59f88793140f45dcb41ffb800837a7962023-11-18T09:59:36ZengMDPI AGDiagnostics2075-44182023-06-011312199210.3390/diagnostics13121992Multimodal Imaging Techniques in Monitoring a Patient with Ocular Decompression RetinopathyJustyna Mędrzycka0Paulina Szabelska1Magdalena Rerych2Radosław Różycki3Joanna Gołębiewska4Department of Ophthalmology, Military Institute of Aviation Medicine, 01-755 Warsaw, PolandDepartment of Ophthalmology, Military Institute of Aviation Medicine, 01-755 Warsaw, PolandDepartment of Ophthalmology, Military Institute of Aviation Medicine, 01-755 Warsaw, PolandDepartment of Ophthalmology, Military Institute of Aviation Medicine, 01-755 Warsaw, PolandDepartment of Ophthalmology, Military Institute of Aviation Medicine, 01-755 Warsaw, PolandOcular decompression retinopathy (ODR) is characterized by multiple retinal hemorrhages. It is a rare complication associated with rapid decrease of intraocular pressure (IOP). The course of ODR is usually asymptomatic and self-limiting, which was confirmed by the observation of our patient. In this study, we present a 5-month follow up of a 77-year-old woman with acute right eye (RE) filtration angle closure who developed symptoms of ODR. Clinical examination and multimodal imaging modalities, including color fundus photography, optical coherence tomography (OCT), OCT angiography (OCTA) and fluorescein angiography (FA), were used to confirm the diagnosis and performed regularly in monitoring the course of the disease. Fundus lesions in the RE included diffuse intraretinal hemorrhages in the posterior pole, which gradually resolved during follow-up time. The fundus of the left eye (LE) was normal. The patient underwent conservative therapy, laser therapy and surgery, achieving stabilization of the IOP and improvement of the local condition in the RE. Of the various multimodal imaging techniques, color fundus photography and OCT seemed to be the most specific and helpful in monitoring the patient with ODR.https://www.mdpi.com/2075-4418/13/12/1992decompression retinopathyretinal hemorrhageintraocular pressureIOPacute filtration angle closureoptical coherence tomography
spellingShingle Justyna Mędrzycka
Paulina Szabelska
Magdalena Rerych
Radosław Różycki
Joanna Gołębiewska
Multimodal Imaging Techniques in Monitoring a Patient with Ocular Decompression Retinopathy
Diagnostics
decompression retinopathy
retinal hemorrhage
intraocular pressure
IOP
acute filtration angle closure
optical coherence tomography
title Multimodal Imaging Techniques in Monitoring a Patient with Ocular Decompression Retinopathy
title_full Multimodal Imaging Techniques in Monitoring a Patient with Ocular Decompression Retinopathy
title_fullStr Multimodal Imaging Techniques in Monitoring a Patient with Ocular Decompression Retinopathy
title_full_unstemmed Multimodal Imaging Techniques in Monitoring a Patient with Ocular Decompression Retinopathy
title_short Multimodal Imaging Techniques in Monitoring a Patient with Ocular Decompression Retinopathy
title_sort multimodal imaging techniques in monitoring a patient with ocular decompression retinopathy
topic decompression retinopathy
retinal hemorrhage
intraocular pressure
IOP
acute filtration angle closure
optical coherence tomography
url https://www.mdpi.com/2075-4418/13/12/1992
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AT paulinaszabelska multimodalimagingtechniquesinmonitoringapatientwithoculardecompressionretinopathy
AT magdalenarerych multimodalimagingtechniquesinmonitoringapatientwithoculardecompressionretinopathy
AT radosławrozycki multimodalimagingtechniquesinmonitoringapatientwithoculardecompressionretinopathy
AT joannagołebiewska multimodalimagingtechniquesinmonitoringapatientwithoculardecompressionretinopathy