Ocular decompression retinopathy: A review

Sri Krishna Mukkamala, Amar Patel, Syril Dorairaj, Robert McGlynn, Paul A. Sidoti, Robert N. Weinreb, Jade Rusoff, Sunil Rao, Ronald C. Gentile

Research output: Contribution to journalReview articlepeer-review

26 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)505-512
Number of pages8
JournalSurvey of ophthalmology
Volume58
Issue number6
DOIs
StatePublished - Nov 2013

Keywords

  • Decompression
  • Hemorrhage
  • Intraocular pressure
  • Retina
  • Retinopathy

ASJC Scopus subject areas

  • Ophthalmology

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