A case of Saturday night retinopathy following postoperative orbital compression bandaging: Diagnosis and evaluation using multimodal imaging

We report a rare case of Saturday Night Retinopathy (SNR) following postoperative orbital compression bandaging, highlighting the value of multimodal imaging in diagnosis and management. A 24-year-old male underwent surgical repair of an inferior orbital wall fracture with an absorbable implant, fol...

Full description

Saved in:
Bibliographic Details
Main Authors: Rong Luan, Jinzhi Zhao, Zeying Liu, Limin Zhu, Lingyao Kong, Xiaorong Li, Tingting Lin
Format: Article
Language:English
Published: Elsevier 2025-02-01
Series:Photodiagnosis and Photodynamic Therapy
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1572100024004848
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832575532674318336
author Rong Luan
Jinzhi Zhao
Zeying Liu
Limin Zhu
Lingyao Kong
Xiaorong Li
Tingting Lin
author_facet Rong Luan
Jinzhi Zhao
Zeying Liu
Limin Zhu
Lingyao Kong
Xiaorong Li
Tingting Lin
author_sort Rong Luan
collection DOAJ
description We report a rare case of Saturday Night Retinopathy (SNR) following postoperative orbital compression bandaging, highlighting the value of multimodal imaging in diagnosis and management. A 24-year-old male underwent surgical repair of an inferior orbital wall fracture with an absorbable implant, followed by compression bandaging of the right eye for three days. Upon bandage removal, the patient experienced a significant drop in visual acuity (VA) from 20/20 to 20/200. Multimodal imaging, including diagnostic imaging and angiography, revealed retinal and choroidal ischemia without optic nerve compression, confirming the diagnosis of SNR. The patient received intravenous corticosteroids, which led to a gradual recovery of VA to 20/20 over several weeks. This case underscores the critical role of multimodal imaging in identifying ischemic changes and guiding timely treatment. It also highlights the risk of ischemic complications from postoperative bandaging. To our knowledge, this is the first case of SNR due to compression bandaging, emphasizing the need for cautious postoperative care and the utility of advanced imaging techniques in ophthalmology.
format Article
id doaj-art-8f1428bd2b73454fb3bae8e90b618c64
institution Kabale University
issn 1572-1000
language English
publishDate 2025-02-01
publisher Elsevier
record_format Article
series Photodiagnosis and Photodynamic Therapy
spelling doaj-art-8f1428bd2b73454fb3bae8e90b618c642025-02-01T04:11:44ZengElsevierPhotodiagnosis and Photodynamic Therapy1572-10002025-02-0151104448A case of Saturday night retinopathy following postoperative orbital compression bandaging: Diagnosis and evaluation using multimodal imagingRong Luan0Jinzhi Zhao1Zeying Liu2Limin Zhu3Lingyao Kong4Xiaorong Li5Tingting Lin6Tianjin Key Laboratory of Retinal Functions and Diseases, Tianjin Branch of National Clinical Research Center for Ocular Disease, Eye Institute and School of Optometry, Tianjin Medical University Eye Hospital, Tianjin 384300, ChinaTianjin Key Laboratory of Retinal Functions and Diseases, Tianjin Branch of National Clinical Research Center for Ocular Disease, Eye Institute and School of Optometry, Tianjin Medical University Eye Hospital, Tianjin 384300, ChinaTianjin Key Laboratory of Retinal Functions and Diseases, Tianjin Branch of National Clinical Research Center for Ocular Disease, Eye Institute and School of Optometry, Tianjin Medical University Eye Hospital, Tianjin 384300, ChinaTianjin Key Laboratory of Retinal Functions and Diseases, Tianjin Branch of National Clinical Research Center for Ocular Disease, Eye Institute and School of Optometry, Tianjin Medical University Eye Hospital, Tianjin 384300, ChinaTianjin Key Laboratory of Retinal Functions and Diseases, Tianjin Branch of National Clinical Research Center for Ocular Disease, Eye Institute and School of Optometry, Tianjin Medical University Eye Hospital, Tianjin 384300, ChinaCorresponding authors.; Tianjin Key Laboratory of Retinal Functions and Diseases, Tianjin Branch of National Clinical Research Center for Ocular Disease, Eye Institute and School of Optometry, Tianjin Medical University Eye Hospital, Tianjin 384300, ChinaCorresponding authors.; Tianjin Key Laboratory of Retinal Functions and Diseases, Tianjin Branch of National Clinical Research Center for Ocular Disease, Eye Institute and School of Optometry, Tianjin Medical University Eye Hospital, Tianjin 384300, ChinaWe report a rare case of Saturday Night Retinopathy (SNR) following postoperative orbital compression bandaging, highlighting the value of multimodal imaging in diagnosis and management. A 24-year-old male underwent surgical repair of an inferior orbital wall fracture with an absorbable implant, followed by compression bandaging of the right eye for three days. Upon bandage removal, the patient experienced a significant drop in visual acuity (VA) from 20/20 to 20/200. Multimodal imaging, including diagnostic imaging and angiography, revealed retinal and choroidal ischemia without optic nerve compression, confirming the diagnosis of SNR. The patient received intravenous corticosteroids, which led to a gradual recovery of VA to 20/20 over several weeks. This case underscores the critical role of multimodal imaging in identifying ischemic changes and guiding timely treatment. It also highlights the risk of ischemic complications from postoperative bandaging. To our knowledge, this is the first case of SNR due to compression bandaging, emphasizing the need for cautious postoperative care and the utility of advanced imaging techniques in ophthalmology.http://www.sciencedirect.com/science/article/pii/S1572100024004848Saturday night retinopathy (SNR)Multimodal imagingOrbital compression bandagingRetinal and choroidal ischemia
spellingShingle Rong Luan
Jinzhi Zhao
Zeying Liu
Limin Zhu
Lingyao Kong
Xiaorong Li
Tingting Lin
A case of Saturday night retinopathy following postoperative orbital compression bandaging: Diagnosis and evaluation using multimodal imaging
Photodiagnosis and Photodynamic Therapy
Saturday night retinopathy (SNR)
Multimodal imaging
Orbital compression bandaging
Retinal and choroidal ischemia
title A case of Saturday night retinopathy following postoperative orbital compression bandaging: Diagnosis and evaluation using multimodal imaging
title_full A case of Saturday night retinopathy following postoperative orbital compression bandaging: Diagnosis and evaluation using multimodal imaging
title_fullStr A case of Saturday night retinopathy following postoperative orbital compression bandaging: Diagnosis and evaluation using multimodal imaging
title_full_unstemmed A case of Saturday night retinopathy following postoperative orbital compression bandaging: Diagnosis and evaluation using multimodal imaging
title_short A case of Saturday night retinopathy following postoperative orbital compression bandaging: Diagnosis and evaluation using multimodal imaging
title_sort case of saturday night retinopathy following postoperative orbital compression bandaging diagnosis and evaluation using multimodal imaging
topic Saturday night retinopathy (SNR)
Multimodal imaging
Orbital compression bandaging
Retinal and choroidal ischemia
url http://www.sciencedirect.com/science/article/pii/S1572100024004848
work_keys_str_mv AT rongluan acaseofsaturdaynightretinopathyfollowingpostoperativeorbitalcompressionbandagingdiagnosisandevaluationusingmultimodalimaging
AT jinzhizhao acaseofsaturdaynightretinopathyfollowingpostoperativeorbitalcompressionbandagingdiagnosisandevaluationusingmultimodalimaging
AT zeyingliu acaseofsaturdaynightretinopathyfollowingpostoperativeorbitalcompressionbandagingdiagnosisandevaluationusingmultimodalimaging
AT liminzhu acaseofsaturdaynightretinopathyfollowingpostoperativeorbitalcompressionbandagingdiagnosisandevaluationusingmultimodalimaging
AT lingyaokong acaseofsaturdaynightretinopathyfollowingpostoperativeorbitalcompressionbandagingdiagnosisandevaluationusingmultimodalimaging
AT xiaorongli acaseofsaturdaynightretinopathyfollowingpostoperativeorbitalcompressionbandagingdiagnosisandevaluationusingmultimodalimaging
AT tingtinglin acaseofsaturdaynightretinopathyfollowingpostoperativeorbitalcompressionbandagingdiagnosisandevaluationusingmultimodalimaging
AT rongluan caseofsaturdaynightretinopathyfollowingpostoperativeorbitalcompressionbandagingdiagnosisandevaluationusingmultimodalimaging
AT jinzhizhao caseofsaturdaynightretinopathyfollowingpostoperativeorbitalcompressionbandagingdiagnosisandevaluationusingmultimodalimaging
AT zeyingliu caseofsaturdaynightretinopathyfollowingpostoperativeorbitalcompressionbandagingdiagnosisandevaluationusingmultimodalimaging
AT liminzhu caseofsaturdaynightretinopathyfollowingpostoperativeorbitalcompressionbandagingdiagnosisandevaluationusingmultimodalimaging
AT lingyaokong caseofsaturdaynightretinopathyfollowingpostoperativeorbitalcompressionbandagingdiagnosisandevaluationusingmultimodalimaging
AT xiaorongli caseofsaturdaynightretinopathyfollowingpostoperativeorbitalcompressionbandagingdiagnosisandevaluationusingmultimodalimaging
AT tingtinglin caseofsaturdaynightretinopathyfollowingpostoperativeorbitalcompressionbandagingdiagnosisandevaluationusingmultimodalimaging