The Retina Reference

Postvitrectomy Glaucoma

These color fundus photos were taken from a 68-year-old male patient 10 years following vitrectomy surgeries left eye for a macular hole and subsequently for retinal detachment. On this routine follow-up visit a new optic disc neural rim hemorrhage was noted (yellow arrow), which is a sign of possible glaucoma. The intraocular pressures were 20 right and 18 left. The syndrome of post-vitrectomy glaucoma, presumed to be due to increased oxygen tension in the aqueous humor leading to oxidative trabecular meshwork damage, has been recognized for the past 20 years, making routine surveillance following vitrectomy surgery a necessity.