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Letter
Bilateral decompression retinopathy after orbital decompression surgery
  1. G J B Simon,
  2. R A Goldberg,
  3. J D McCann
  1. The Jules Stein Eye Institute and Department of Ophthalmology, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA
  1. Correspondence to: Guy J Ben Simon MD Jules Stein Eye Institute, 100 Stein Plaza, Box 957006, Los Angeles, CA 90095–7006, USA; simonjsei.ucla.edu

https://doi.org/10.1136/bjo.2004.049767

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    Decompression retinopathy is defined as retinal haemorrhages that typically occur after glaucoma filtration surgery.1,2

    Orbital decompression is a common surgery performed to treat patients with thyroid related orbitopathy for functional or cosmetic indications.3,4 Many complications have been described with the surgery, but this surgery has never been associated with retinal haemorrhages.

    We describe a case of a 70 year old woman, who developed bilateral retinal haemorrhages after staged bilateral orbital decompression surgeries.

    CASE REPORT

    A 70 year old woman with the diagnosis of euthyroid Graves’ disease was referred because of severe proptosis. Past ophthalmic history revealed two previous strabismus surgeries. Past medical history was unremarkable with no history of diabetes or cardiovascular disease, also she was not taking aspirin or any other blood thinning medications.

    Ophthalmic examination showed visual acuity of 20/20 in each eye. Both orbits were moderately firm to retropulsion. IOP was within normal limits …

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      CORRECTION
      BMJ Publishing Group Ltd.BMA House, Tavistock Square, London, WC1H 9JR
      British Journal of Ophthalmology 2005; 89 393-393 Published Online First: 17 Feb 2005. doi: 10.1136/bjo.2004.049767corr1