Decompression Retinopathy after Trabeculectomy
Korean Journal of Ophthalmology
;
: 128-131, 2005.
Artigo
em Inglês
| WPRIM
| ID: wpr-172731
ABSTRACT
PURPOSE:
To present a case of a unilateral diffuse retinal hemorrhage in a 15-year-old girl, who underwent bilateral trabeculectomy for steroid induced glaucoma.METHODS:
Despite the maximally tolerable medical treatment, IOP in the right eye remained above 50 mmHg for four months, and was simultaneously elevated in the left eye. So we performed bilateral trabeculectomy.RESULTS:
On the first postoperative day, diffuse retinal hemorrhages were observed in the right eye; however, no retinal hemorrhage was found in the left eye. The hemorrhages resolved completely without consequences two months later.CONCLUSIONS:
In the case of high IOP for a long period, sudden lowering of IOP may acutely increase the blood flow and consequently rupture multiple retinal capillaries because of altered autoregulatory function. Special care is therefore needed to prevent an abrupt fall in IOP before, during, and after surgery, especially when IOP has been highly elevated for an extended period.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Esteroides
/
Uveíte
/
Hemorragia Retiniana
/
Trabeculectomia
/
Angiofluoresceinografia
/
Glaucoma
/
Administração Tópica
/
Fundo de Olho
Limite:
Adolescente
/
Feminino
/
Humanos
Idioma:
Inglês
Revista:
Korean Journal of Ophthalmology
Ano de publicação:
2005
Tipo de documento:
Artigo
Similares
MEDLINE
...
LILACS
LIS