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Abstract #59053 Published in IGR 16-3

Reversibility of Retinal Pigment Epithelium Detachment Parallel to Acute Intraocular Pressure Rise

Wang YX; Ran J; Yang LH; Xu L; Jonas JB
Journal of Glaucoma 2015; 24: e16-e18

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PURPOSE: To report on a reversibility of a retinal pigment epithelium (RPE) detachment in association with marked short-term changes in intraocular pressure (IOP). MATERIALS AND METHODS: Three patients underwent a dark room provocative test for the diagnosis of angle-closure glaucoma. A spectral-domain optical coherent tomography of the macula was additionally performed. RESULTS: On the macula optical coherent tomography images, all 3 patients showed an RPE detachment with decreased or completely disappeared after an IOP rise by 5 to 25 mm Hg, and which recurred after normalization of IOP. CONCLUSION: Slight detachments of the RPE may depend on acute IOP changes.

*Beijing Ophthalmology and Visual Science Key Laboratory, Beijing Institute of Ophthalmology †Beijing Ophthalmology and Visual Science Key Laboratory, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing, China ‡Department of Ophthalmology, Medical Faculty Mannheim of the Ruprecht-Karls-University, Heidelberg, Germany.

Full article

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Classification:

9.4.5.5 Other (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.5 Glaucomas associated with disorders of the retina, choroid and vitreous)
6.13 Provocative tests (Part of: 6 Clinical examination methods)
9.3.1 Acute primary angle closure glaucoma (pupillary block) (Part of: 9 Clinical forms of glaucomas > 9.3 Primary angle closure glaucomas)
2.13 Retina and retinal nerve fibre layer (Part of: 2 Anatomical structures in glaucoma)

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