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Related Experiment Video

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Ocular decompression retinopathy: a review.

Sri Krishna Mukkamala1, Amar Patel, Syril Dorairaj

  • 1Department of Ophthalmology, The New York Eye and Ear Infirmary, New York, New York, and New York Medical College, Valhalla, New York; Edward Harkness Eye Institute, Columbia University, New York, New York, and Vitreous Retina Macula Consultants of New York, New York, New York.

Survey of Ophthalmology
|October 29, 2013
PubMed
Summary
This summary is machine-generated.

Ocular decompression retinopathy (ODR) involves retinal hemorrhages after rapid intraocular pressure (IOP) lowering. Most cases resolve with good vision, suggesting gradual IOP reduction may prevent ODR.

Keywords:
decompressionhemorrhageintraocular pressureretinaretinopathy

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Area of Science:

  • Ophthalmology
  • Retinal Diseases

Background:

  • Ocular decompression retinopathy (ODR) is characterized by retinal hemorrhages post-acute intraocular pressure (IOP) reduction.
  • This condition is defined as multifocal hemorrhagic retinopathy not attributable to other causes.

Purpose of the Study:

  • To review the pathogenesis, clinical features, management, and outcomes of ODR.
  • To synthesize findings from 32 articles published between 1992 and 2011.

Main Methods:

  • Systematic review of 32 published articles.
  • Analysis of data on IOP changes, diagnosis timing, resolution, interventions, and visual outcomes.

Main Results:

  • ODR involves hemorrhages in all retinal layers, often asymptomatic.
  • Mean IOP drop was 33.2 ± 15.8 mm Hg; 82% diagnosed within 2 weeks postoperatively.
  • Resolution averaged 13 weeks; 14% required vitrectomy. 85% achieved baseline vision.

Conclusions:

  • ODR typically resolves with good visual outcomes.
  • Gradual IOP reduction may be a strategy to prevent ODR.
  • While ODR rarely causes significant morbidity, careful IOP management is key.