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Case Reports
. 2015 Oct-Dec;5(4):195-197.
doi: 10.1016/j.tjo.2014.10.005. Epub 2014 Dec 4.

Ocular decompression retinopathy after laser iridotomy in a patient with acute angle closure

Tzu-Te Hu  1 , Shao-Chun Chen  1 , Po-Chen Tseng  1 , Chun-Chen Chen  1 , Shiow-Wen Liou  1
Affiliations
Case Reports

Ocular decompression retinopathy after laser iridotomy in a patient with acute angle closure

Tzu-Te Hu et al. Taiwan J Ophthalmol. 2015 Oct-Dec.

Abstract

A 65-year-old female developed elevated intraocular pressure (IOP) with angle closure in the right eye. The fundus examination revealed vitreo-retinal hemorrhage that had occurred after neodymium-doped yttrium aluminum garnet (Nd:YAG) laser iridotomy. The retinal hemorrhage resolved spontaneously. This is a rare complication that occurs when the IOP is lowered rapidly. Ocular decompression retinopathy (ODR) was identified. We reviewed several cases of ODR that were treated by various interventions. We also discuss the possible pathogenesis, prognosis, and treatment strategy.

Keywords: acute angle closure; decompression retinopathy; laser iridotomy; retinal hemorrhage.

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Conflict of interest statement

Conflicts of interest: All authors declare no conflicts of interest.

Figures

Fig. 1
Fig. 1
Color fundus picture shows scattered retinal hemorrhaging and a vitreous hemorrhage over the temporal site (oculus dextro).
Fig. 2
Fig. 2
No diabetic retinopathy is present on fluorescein angiography examination. Hypofluorescence areas are compatible with retinal hemorrhage.
See this image and copyright information in PMC

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