Decompression Retinopathy after ExPRESS Shunt Implantation for Steroid-Induced Ocular Hypertension: A Case Report

Abstract

Purpose. To present a unique case of decompression retinopathy after the implantation of ExPRESS drainage device. Method. A 25-year-old female patient underwent implantation of ExPRESS drainage device in the left eye for the management of steroid-induced ocular hypertension. Results. On the postoperative day one, best-corrected visual acuity in the left eye was 20/50. Fundus examination revealed diffuse intraretinal hemorrhages, some white-centered, throughout the retina. There was also marked tortuosity to the retinal vasculature and no evidence of choroidal effusion. Intravenous fluorescein angiography and indocyanine green did not contribute to the aetiopathogenesis. Conclusion. Decompression retinopathy can occur following the implantation of ExPRESS drainage device. It is very important to be aware of this complication in patients with relatively high intraocular pressure who is planned for filtration surgery, including the ExPRESS implant.

Changes in the Density of Corneal Endothelial Cells in Elderly Diabetic Patients After Combined Phacovitrectomy and Ex-PRESS Glaucoma Implants

“…Therefore, it should be borne in mind that the above necessary and performed procedures negatively affect the density of corneal endothelial cells. Abu Samra et al pointed to the possibility of decompensatory retinopathy after implantation of the Ex-PRESS shunt in those patients with an increase in IOP within a short period of time [40]. On the other hand, Puerto et al in their retrospective evaluation did not observe statistically significant differences in visual acuity before and after the Ex-PRESS shunt implantation procedure [41].…”

Bilateral Ocular Decompression Retinopathy after Ahmed Valve Implantation for Uveitic Glaucoma

“…ODR is a well-known complication that has been previously described in penetrating and nonpenetrating ocular surgeries such as trabeculectomy with or without antimetabolites, Ahmed valve implantation, anterior chamber paracentesis, vitrectomy, phacoemulsification, orbital decompression surgery, and less invasive procedures such as peripheral iridotomies and IOP-lowering medication [2, 3, 4, 5, 6, 7, 8, 9]. The mean drop of IOP reported is 33.2 ± 15.8 mm Hg (range, 4–57 mm Hg) [3].…”

Bilaterale okuläre Dekompressionsretinopathie nach Implantation einer Ahmed-Drainage zur Behandlung eines uveitischen Glaukoms

“…Die okuläre Dekompressionsretinopathie (ODR) ist eine bekannte Komplikation penetrierender und nicht-penetrierender Augenoperationen, die im Zusammenhang mit Eingriffen wie Trabekulektomie mit oder ohne Antimetaboliten, Ahmed-Drainage-Implantation, Vorderkammerparazentese, Vitrektomie, Phakoemulsifikation, Orbita-Dekompressionsoperation sowie weniger invasiven Eingriffen wie der peripheren Iridotomie und IOD-senkenden Medikamenten beschrieben wurde [2,3,4,5,6,7,8,9]. Berichten zufolge liegt der mittlere IOD-Abfall bei 33,2 ± 15,8 mmHg (Spanne: 4-57 mmHg) [3].…”