Ocular decompression retinopathy: A review |
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| Authors: | Sri Krishna Mukkamala Amar Patel Syril Dorairaj Robert McGlynn Paul A Sidoti Robert N Weinreb Jade Rusoff Sunil Rao Ronald C Gentile |
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| Institution: | 1. Department of Ophthalmology, The New York Eye and Ear Infirmary, New York, New York, and New York Medical College, Valhalla, New York;2. Edward Harkness Eye Institute, Columbia University, New York, New York, and Vitreous Retina Macula Consultants of New York, New York, New York;3. Shiley Eye Center and Department of Ophthalmology, University of California San Diego, La Jolla, California;4. Illinois Eye and Ear Infirmary, University of Illinois at Chicago, Department of Ophthalmology and Visual Sciences, Chicago, Illinois;5. Department of Ophthalmology, Winthrop University Hospital, Mineola, New York;1. The Department of Ophthalmology, California Pacific Medical Center, San Francisco, California, USA;2. The Departments of Ophthalmology & Visual Sciences and of Pathology & Immunology, Washington University, St. Louis, Missouri, USA;3. The Department of Ophthalmology & Vision Science, University of California–Davis, Sacramento, California, USA;4. The Department of Ophthalmology, Stanford University School of Medicine, Stanford, California, USA;1. Department of Ophthalmology, University La Sapienza, Italy;2. Pangere Center for Hereditary Retinal Diseases, The Chicago Lighthouse for People Who Are Blind or Visually Impaired, Chicago, Illinois, USA;3. Department of Ophthalmology, University of Illinois at Chicago, Chicago, Illinois, USA;1. The Vision Center, Children''s Hospital, Los Angeles, California;2. Division of Biostatistics, Department of Preventive Medicine, USC Keck School of Medicine, Los Angeles, California;3. Department of Ophthalmology, USC Keck School of Medicine, Los Angeles, California;1. Department of Glaucoma, Narayana Nethralaya, Rajajinagar, Bangalore, India;2. Department of Glaucoma, Narayana Nethralaya, Hulimavu, Bangalore, India;3. Hamilton Glaucoma Center and Department of Ophthalmology, Shiley Eye Institute, University of California, San Diego, La Jolla, California;4. Glaucoma Center, Montchoisi Clinic, Swiss Vision Network, Lausanne, Switzerland;5. Department of Ophthalmology, University of Colorado, Denver, Colorado;6. University Eye Clinic Maastricht, University Medical Center, Maastricht, Netherlands |
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| Abstract: | Ocular decompression retinopathy (ODR) presents as retinal hemorrhages following acute lowering of the intraocular pressure (IOP). We review 32 articles published from 1992 to 2011 and address the pathogenesis, clinical features, management, and outcomes of ODR. ODR is defined as a multifocal hemorrhagic retinopathy that results from acute lowering of IOP and is not explained by another process. Hemorrhages occur in all retinal layers, and most patients are asymptomatic. The mean drop in IOP in ODR is 33.2 ± 15.8 mm Hg (range, 4–57 mm Hg). Eighty-two percent are diagnosed by the first postoperative day, all within 2 weeks. ODR resolved in a mean of 13 ± 12.4 weeks (range, 2–72 weeks). Vitrectomy was required for vitreous and subhyaloid hemorrhage in 14% of cases. Visual outcomes are generally good, with 85% of eyes returning to baseline vision. Although ODR infrequently results in significant ocular morbidity, gradual reduction in IOP might prevent this complication. |
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