Decompression retinopathy after glaucoma surgery in children

Of 170 children who underwent 248 glaucoma procedures at a single center between 2005 and 2012, 13 eyes of 12 children (5.24%) developed decompression retinopathy, which resolved spontaneously, leaving no visible structural damage to the fundus structures. The mean age of children with hemorrhages w...

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Published inJournal of AAPOS Vol. 19; no. 3; pp. 286 - 289
Main Authors Fadel, Alaa Mohamed, MD, Bessa, Amr Saad, MD, Bayoumi, Nader Hussein Lotfy, MD, Gonnah, Reem El Sayed Mohammed, MBBCh
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.06.2015
Subjects
Adolescent
Child
Child, Preschool
Decompression
Female
Filtering Surgery
Glaucoma - surgery
Humans
Infant
Intraocular Pressure
Male
Ophthalmology
Postoperative Complications
Retinal Hemorrhage - etiology
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Summary:Of 170 children who underwent 248 glaucoma procedures at a single center between 2005 and 2012, 13 eyes of 12 children (5.24%) developed decompression retinopathy, which resolved spontaneously, leaving no visible structural damage to the fundus structures. The mean age of children with hemorrhages was 39.2 ± 63.5 months; of those without, 8.0 ± 9.7 months. The fundus hemorrhages were peripapillary, subfoveal, dot-and-blot, and diffuse. Combined angle and filtering surgery with antimetabolite was the most common procedure performed in all eyes. There were no statistically significant differences between eyes with and without hemorrhages with respect to demographics or preoperative and operative characteristics. No definite ocular risk factor was identified for the occurrence of decompression retinopathy.
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ISSN:1091-8531
1528-3933
DOI:10.1016/j.jaapos.2015.02.003