Limits...
Multiple retinal hemorrhage following anterior chamber paracentesis in uveitic glaucoma.

Lee SJ, Lee JJ, Kim SD - Korean J Ophthalmol (2006)

Bottom Line: Multiple round blot retinal hemorrhages with white centers occurred in the equator and peripheral retina, and small slit hemorrhages were observed in the peripapillary area.A fluorescence angiography(FAG) showed no obstruction of retinal vessels but a slightly delayed arteriovenous time in the left eye.It is important to be aware that patients who have a persistent relatively high IOP are at an increased risk of developing decompression retinopathy due to paracentesis and filtering surgery.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, College of Medicine, Kosin University, Pusan, Korea. hiatus@ns.kosinmed.co.kr

ABSTRACT

Purpose: We describe the occurrence of a massive retinal hemorrhage following anterior chamber paracentesis in uveitic glaucoma.

Methods: A 33-year-old man who suffered from uveitic glaucoma was transferred to our hospital. The lOP in both his eyes was documented to vary between 11 mmHg and 43 mmHg and remained at a continuously high level for 7 months despite maximally tolerable medical treatment. A paracentesis was performed bilaterally to lower the IOP.

Results: Immediately after the paracentesis, massive retinal hemorrhages occurred in the left eye. Multiple round blot retinal hemorrhages with white centers occurred in the equator and peripheral retina, and small slit hemorrhages were observed in the peripapillary area. A fluorescence angiography(FAG) showed no obstruction of retinal vessels but a slightly delayed arteriovenous time in the left eye.

Conclusions: It is important to be aware that patients who have a persistent relatively high IOP are at an increased risk of developing decompression retinopathy due to paracentesis and filtering surgery.

Show MeSH

Related in: MedlinePlus

This is a photograph of the fundus in the left eye two months after the multiple retinal hemorrhages. The hemorrhages are almost completely resolved. Visual acuity with correction was 0.16 (OS).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC2908828&req=5

Figure 2: This is a photograph of the fundus in the left eye two months after the multiple retinal hemorrhages. The hemorrhages are almost completely resolved. Visual acuity with correction was 0.16 (OS).

Mentions: A day later, a fundoscopy and fluorescence angiography (FAG) revealed multiple peripapillary and peripheral preretinal and deep retinal hemorrhages in the left eye (Fig. 1A). No hemorrhages were present in the right eye. FAG showed multiple areas of blocked fluorescence in the central and peripheral retina of the left eye. However, there was no obstruction in the retinal vessels and only a delayed arteriovenous phase (17 sec) (Fig. 1B). Visual acuity with correction was 0.16/0.16 (OD/OS) and IOP was 15/17 mmHg. Two months later, the massive retinal hemorrhage had completely resolved (Fig. 2). Visual acuity with correction was 0.16/0.16 (OD/OS) and IOP was 33/32 mmHg. Several months later, an Ahmed valve was implanted in both eyes.


Multiple retinal hemorrhage following anterior chamber paracentesis in uveitic glaucoma.

Lee SJ, Lee JJ, Kim SD - Korean J Ophthalmol (2006)

This is a photograph of the fundus in the left eye two months after the multiple retinal hemorrhages. The hemorrhages are almost completely resolved. Visual acuity with correction was 0.16 (OS).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2908828&req=5

Figure 2: This is a photograph of the fundus in the left eye two months after the multiple retinal hemorrhages. The hemorrhages are almost completely resolved. Visual acuity with correction was 0.16 (OS).
Mentions: A day later, a fundoscopy and fluorescence angiography (FAG) revealed multiple peripapillary and peripheral preretinal and deep retinal hemorrhages in the left eye (Fig. 1A). No hemorrhages were present in the right eye. FAG showed multiple areas of blocked fluorescence in the central and peripheral retina of the left eye. However, there was no obstruction in the retinal vessels and only a delayed arteriovenous phase (17 sec) (Fig. 1B). Visual acuity with correction was 0.16/0.16 (OD/OS) and IOP was 15/17 mmHg. Two months later, the massive retinal hemorrhage had completely resolved (Fig. 2). Visual acuity with correction was 0.16/0.16 (OD/OS) and IOP was 33/32 mmHg. Several months later, an Ahmed valve was implanted in both eyes.

Bottom Line: Multiple round blot retinal hemorrhages with white centers occurred in the equator and peripheral retina, and small slit hemorrhages were observed in the peripapillary area.A fluorescence angiography(FAG) showed no obstruction of retinal vessels but a slightly delayed arteriovenous time in the left eye.It is important to be aware that patients who have a persistent relatively high IOP are at an increased risk of developing decompression retinopathy due to paracentesis and filtering surgery.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, College of Medicine, Kosin University, Pusan, Korea. hiatus@ns.kosinmed.co.kr

ABSTRACT

Purpose: We describe the occurrence of a massive retinal hemorrhage following anterior chamber paracentesis in uveitic glaucoma.

Methods: A 33-year-old man who suffered from uveitic glaucoma was transferred to our hospital. The lOP in both his eyes was documented to vary between 11 mmHg and 43 mmHg and remained at a continuously high level for 7 months despite maximally tolerable medical treatment. A paracentesis was performed bilaterally to lower the IOP.

Results: Immediately after the paracentesis, massive retinal hemorrhages occurred in the left eye. Multiple round blot retinal hemorrhages with white centers occurred in the equator and peripheral retina, and small slit hemorrhages were observed in the peripapillary area. A fluorescence angiography(FAG) showed no obstruction of retinal vessels but a slightly delayed arteriovenous time in the left eye.

Conclusions: It is important to be aware that patients who have a persistent relatively high IOP are at an increased risk of developing decompression retinopathy due to paracentesis and filtering surgery.

Show MeSH
Related in: MedlinePlus