Optical Coherence Tomography Findings in Ocular Decompression Retinopathy

Abstract

<P>Three days following trabeculectomy surgery, a 47-year-old woman experienced a decline in visual acuity to 20/400. Fundus findings were consistent with decompression retinopathy, and optical coherence tomography revealed macular thickening, cystoid macular edema, and neurosensory macular detachment. The foveal anatomy normalized following topical treatment, and visual acuity returned to 20/30 by 10 weeks postoperatively. Both macular detachment and cystoid macular edema may contribute to acute decline in visual acuity in decompression retinopathy. Optical coherence tomography facilitated the prompt detection of treatable pathology, which resolved following appropriate medical therapy. [<CITE>Ophthalmic Surg Lasers Imaging</CITE> 2006;37:333-335.]</P> <H4>AUTHORS</H4> <P>From the Vanderbilt Eye Institute, Nashville, Tennessee.</P> <P>Accepted for publication March 30, 2006.</P> <P>Presented in part as a poster at the annual meeting of the Association for Research in Vision and Ophthalmology, Fort Lauderdale, Florida, April 25-29, 2004.</P> <P>Address reprint requests to Franco M. Recchia, MD, Division of Vitreoretinal Diseases and Surgery, Vanderbilt Eye Institute, 8018 Medical Center East, Nashville, TN 37232.</P>