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Decompression Retinopathy After Goniotomy in a Child: A Case Report
Eitan S Burstein1, Peter A Netland
1Department of Ophthalmology, University of Virginia School of Medicine, Charlottesville, VA.
Journal of Glaucoma
|April 15, 2017
Summary
Ocular decompression retinopathy is a rare complication that can occur in children following goniotomy surgery for pediatric uveitic glaucoma. This case report details its occurrence and subsequent resolution.
Area of Science:
- Ophthalmology
- Retinal Diseases
- Pediatric Glaucoma
Background:
- Pediatric uveitic glaucoma presents a challenge due to uncontrolled intraocular pressure (IOP).
- Goniotomy is a surgical option for managing refractory cases of pediatric glaucoma.
Observation:
- An 11-year-old boy with idiopathic uveitis experienced severe IOP elevation unresponsive to medical therapy.
- The patient underwent goniotomy on the right eye for uncontrolled glaucoma.
Findings:
- Post-goniotomy, the patient developed ocular decompression retinopathy, characterized by diffuse retinal hemorrhages with white centers.
- Vision initially decreased but returned to baseline, and IOP normalized within weeks.
- The left eye underwent goniotomy without complications.
Implications:
- This case highlights ocular decompression retinopathy as a potential complication of goniotomy in pediatric glaucoma.
- Early recognition and monitoring are crucial for managing this rare condition.
- Goniotomy remains a viable option for pediatric uveitic glaucoma despite this risk.