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Abstract #68957 Published in IGR 18-1

Ocular Decompression Retinopathy After Uncomplicated Cataract Surgery in a Patient With a History of Narrow-Angle Glaucoma

Dohlman TH; Chee RI; Seidman C; Rafla-Demetrious L; Gupta MP
Journal of Glaucoma 2016; 25: e756-e758


PURPOSE: To describe a case of ocular decompression retinopathy following uncomplicated cataract surgery in a patient with phacomorphic narrow-angle glaucoma. METHODS: Case report with wide-field fundus imaging. RESULTS: A 57-year-old woman with a history of phacomorphic narrow-angle glaucoma presented 1 day after uncomplicated cataract extraction with intraocular lens insertion of the left eye with hand motion vision. She was found to have decompression retinopathy with large prefoveal subhyaloid hemorrhage. The hemorrhages gradually improved over time with observation. CONCLUSIONS: We report a case of decompression retinopathy after uncomplicated cataract extraction in a patient with phacomorphic narrow-angle glaucoma. This report expands upon the procedures after which decompression retinopathy has been diagnosed and suggests a need for careful perioperative management in patients with glaucoma.

Department of Ophthalmology, Weill Cornell Medical College, New York, NY.

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Classification:

9.3.2 Chronic primary angle closure glaucoma (pupillary block) (Part of: 9 Clinical forms of glaucomas > 9.3 Primary angle closure glaucomas)
12.8.11 Complications, endophthalmitis (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
9.4.4.5 Other (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.4 Glaucomas associated with disorders of the lens)



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