Abu Samra Khawla, Fernando Sieminski Sandra, Sarup Vimal
Ross Eye Institute, The State University of New York at Buffalo, Buffalo, NY 14209, USA.
Case Rep Ophthalmol Med. 2011;2011:303287. doi: 10.1155/2011/303287. Epub 2011 Dec 21.
Purpose. To present a unique case of decompression retinopathy after the implantation of ExPRESS drainage device. Method. A 25-year-old female patient underwent implantation of ExPRESS drainage device in the left eye for the management of steroid-induced ocular hypertension. Results. On the postoperative day one, best-corrected visual acuity in the left eye was 20/50. Fundus examination revealed diffuse intraretinal hemorrhages, some white-centered, throughout the retina. There was also marked tortuosity to the retinal vasculature and no evidence of choroidal effusion. Intravenous fluorescein angiography and indocyanine green did not contribute to the aetiopathogenesis. Conclusion. Decompression retinopathy can occur following the implantation of ExPRESS drainage device. It is very important to be aware of this complication in patients with relatively high intraocular pressure who is planned for filtration surgery, including the ExPRESS implant.
目的。介绍1例ExPRESS引流装置植入术后减压性视网膜病变的独特病例。方法。一名25岁女性患者因类固醇性高眼压接受左眼ExPRESS引流装置植入术。结果。术后第1天，左眼最佳矫正视力为20/50。眼底检查发现整个视网膜弥漫性视网膜内出血，部分以白色为中心。视网膜血管也有明显迂曲，无脉络膜积液迹象。静脉荧光素血管造影和吲哚菁绿造影对病因发病机制无帮助。结论。ExPRESS引流装置植入术后可发生减压性视网膜病变。对于计划行滤过手术（包括ExPRESS植入）且眼压相对较高的患者，认识到这种并发症非常重要。
