Publication
Consecutive bilateral decompression retinopathy after mitomycin C trabeculectomy: a case report
| dc.contributor.author | Figueiredo, A. | |
| dc.contributor.author | Sampaio, I. | |
| dc.contributor.author | Menéres, M. | |
| dc.contributor.author | Spaeth, G. | |
| dc.date.accessioned | 2017-07-06T14:48:40Z | |
| dc.date.available | 2017-07-06T14:48:40Z | |
| dc.date.issued | 2016-02-04 | |
| dc.description.abstract | BACKGROUND: After a successful trabeculectomy, a sudden intraocular pressure decrease may alter the intracranial to intraocular pressure ratio and cause decompression retinopathy. Frequent Valsalva maneuvers may also play a role in its pathogenesis. This condition may manifest as multiple retinal hemorrhages, edema of the optic disc, macular edema, or a sudden decrease in visual acuity postoperatively. Outcomes for patients are usually good, with spontaneous resolution occurring within a matter of weeks. It has been rarely reported in the literature as a bilateral condition. CASE PRESENTATION: We present a case of consecutive bilateral decompression retinopathy in a 54-year-old severely obese Caucasian woman (body mass index 37 kg/m(2)) with open angle glaucoma and a poor history of medical therapeutic compliance, who chose surgical treatment based on her inability to consistently use ocular drops. Our patient underwent a trabeculectomy with mitomycin C in both eyes, with surgeries taking place 3 months apart. After the first surgery, 2 weeks postoperatively, she complained of decreased visual acuity. Examination of her right eye fundus revealed multiple retinal hemorrhages and disc edema. There was a similar pattern in her left eye, this time including maculopathy. Her visual acuity and fundoscopic changes resolved spontaneously over a period of a month in both cases. Currently, our patient has well-controlled bilateral intraocular pressure, ranging between 14 and 16 mmHg, without hypotensive medication. CONCLUSIONS: Decompression retinopathy is a potential complication after glaucoma surgery, but has rarely been described as a bilateral consecutive condition. A comprehensive approach could help to anticipate its occurrence and manage it. | pt_PT |
| dc.description.version | info:eu-repo/semantics/publishedVersion | pt_PT |
| dc.identifier.citation | J Med Case Rep. 2016 Feb 4;10:32 | pt_PT |
| dc.identifier.doi | 10.1186/s13256-016-0814-x | pt_PT |
| dc.identifier.issn | 1752-1947 | |
| dc.identifier.uri | http://hdl.handle.net/10400.16/2136 | |
| dc.language.iso | eng | pt_PT |
| dc.peerreviewed | yes | pt_PT |
| dc.publisher | BioMed Central | pt_PT |
| dc.relation.publisherversion | https://jmedicalcasereports.biomedcentral.com/track/pdf/10.1186/s13256-016-0814-x?site=jmedicalcasereports.biomedcentral.com | pt_PT |
| dc.subject | Decompression retinopathy | pt_PT |
| dc.subject | Macular edema | pt_PT |
| dc.subject | Open angle glaucoma | pt_PT |
| dc.subject | Retinal hemorrhages | pt_PT |
| dc.subject | Trabeculectomy | pt_PT |
| dc.title | Consecutive bilateral decompression retinopathy after mitomycin C trabeculectomy: a case report | pt_PT |
| dc.type | journal article | |
| dspace.entity.type | Publication | |
| oaire.citation.conferencePlace | England | pt_PT |
| oaire.citation.issue | 1 | pt_PT |
| oaire.citation.startPage | 32 | pt_PT |
| oaire.citation.title | Journal of Medical Case Reports | pt_PT |
| oaire.citation.volume | 10 | pt_PT |
| rcaap.rights | openAccess | pt_PT |
| rcaap.type | article | pt_PT |