The diagnosis of ocular decompression retinopathy is mainly clinically where about 80% of patients are asymptomaticĪlthough the fundus findings in ODR can be striking, about 80% of patients remain asymptomatic. Primary preventionĬare should be taken to prevent ocular hypotony at the end of the procedure, especially in eyes with high preoperative IOP. Despite the small sclerotomy caliber, it has been demonstrated that some patients develop transient hypotony and even choroidal detachment in the immediate postoperative period.
Glaucoma drainage implant insertion and trabeculectomy but may also occur after anterior chamber paracentesis, cataract surgery, vitrectomy, silicone oil removal, and pars plana sclerotomies. The term ocular decompression retinopathy was coined by Fechner et al (1992) to describe retinal changes subsequent to iatrogenic lowering of intraocular pressure after glaucoma filtering surgery Etiology One case of medically treated acute primary angle closure (APAC) resulting in severe visual loss owing to retinal haemorrhage has been report in literature.
The clinical appearance is characterized by multiple round intraretinal hemorrhages, some with white centers, located in the postequatorial retina. Ocular decompression retinopathy (ODR) is an rare postoperative complication that occurs as a result of rapid intraocular pressure lowering interventions.
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