Response to letter «Anterior chamber paracentesis in patients with acute elevation of intraocular pressure» by Pong et al.

2007 ◽  
Vol 246 (3) ◽  
pp. 465-466
Author(s):  
Alain Bron ◽  
Stéphane Arnavielle ◽  
Catherine Creuzot-Garcher
Keyword(s):  
Intraocular Pressure ◽  
Anterior Chamber ◽  
Acute Elevation ◽  
Anterior Chamber Paracentesis

scholarly journals Acute Elevation of Intraocular Pressure in Patient with Hyperlipidemic Myeloma

2020 ◽  
Vol 76 (4) ◽  
pp. 172-180
Author(s):  
Otakar Dušek ◽  
Marek Fichtl ◽  
Lucie Rezková ◽  
Zora Dubská ◽  
Jarmila Heissigerová ◽  
...  
Keyword(s):  
Intraocular Pressure ◽  
Anterior Chamber ◽  
Systemic Therapy ◽  
Anterior Segment ◽  
Local Therapy ◽  
Angle Closure ◽  
Laser Coagulation ◽  
Blurred Vision ◽  
Acute Elevation ◽  
Masquerade Syndrome

Purpose: To introduce a rare case of patient with hyperlipidemic myeloma and ocular manifestation in the form of masquerade syndrome with acute elevation of intraocular pressure (IOP) and hyperviscous retinopathy. Results: 55-year-old man with newly diagnosed hyperlipidemic myeloma and hyperviscous syndrome was acutely referred to our glaucoma outpatient clinic due to problems with his left eye: sudden pain, blurred vision, redness of the eye and IOP of 44 mm Hg. We excluded attack of angle closure glaucoma and found the presence of whitish material in the anterior chamber and blood obstructing the iridocorneal angle. Glaucoma therapy was initiated and lavage of the anterior chamber of the left eye with sampling of the aqueous humour for biochemical and cytological examination was performed. Identification of trace amount of cryoprotein in the samples of humour proved diagnosis of masquerade syndrome. Finding of the hyperviscous retinopathy and nonperfusion of wide peripheral areas of retina in both eyes was indicated to laser coagulation of these areas. The patient underwent in the meantime three times plasmapheresis, four cycles of biological therapy and autologous stem cell transplantation reaching complete remission of the myeloma. Local and systemic therapy led to significant clinical finding improvement on the anterior segment and fundus of both eyes. Conclusions: Masquerade syndrome can be complicated by acute elevation of IOP. Diagnostic lavage of the anterior chamber, local therapy, systemic therapy and close interdisciplinary cooperation contributed to right diagnosis, IOP normalisation, ocular and general condition improvement.

scholarly journals Ocular Decompression Retinopathy after Anterior Chamber Paracentesis for Neovascular Glaucoma

Medicina ◽  
2021 ◽  
Vol 57 (10) ◽  
pp. 1038
Author(s):  
Yung-En Tsai ◽  
Cherng-Ru Hsu
Keyword(s):  
Intraocular Pressure ◽  
Medical Treatment ◽  
Anterior Chamber ◽  
Rare Complication ◽  
Neovascular Glaucoma ◽  
Rapid Decline ◽  
Anterior Chamber Paracentesis ◽  
Iop Elevation ◽  
Decompression Retinopathy ◽  
Intraretinal Hemorrhages

Ocular decompression retinopathy (ODR) is a rare complication associated with intraocular pressure (IOP)-lowering interventions. We report a case of neovascular glaucoma in the left eye with marked IOP elevation (33 mmHg in the left eye). The IOP in the left eye did not improve despite medical treatment. Paracentesis of the left eye was then performed, and the IOP in the left eye decreased to 9 mmHg. One day after the procedure, several intraretinal hemorrhages, Roth spots, and subhyaloid hemorrhages appeared in the fundus of the left eye. Left eye retinopathy was likely ODR because of the rapid decline in IOP.

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