Treatment of Hypotony Maculopathy Caused by Traumatic Cyclodialysis with Vitrectomy, Gas Tamponade, and Cryotherapy.
- Author:
Cinoo KIM
1
;
Hyeong Gon YU
Author Information
1. Department of Ophthalmology, Seoul National University College of Medicine, Seoul Artificial Eye Center, Seoul National University Hospital Clinical Research Institute, Seoul, Korea. hgonyu@snu.ac.kr
- Publication Type:Case Report
- Keywords:
Cyclodialysis;
Hypotony maculopathy;
Vitrectomy
- MeSH:
Adult;
Cryotherapy*;
Fingers;
Follow-Up Studies;
Humans;
Intraocular Pressure;
Laser Therapy;
Light Coagulation;
Reference Values;
Tomography, Optical Coherence;
Visual Acuity;
Vitrectomy*
- From:Journal of the Korean Ophthalmological Society
2006;47(10):1691-1695
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To report a case of hypotony maculopathy caused by traumatic cyclodialysis and treated by vitrectomy combined with gas tamponade and cryotherapy. METHODS: A 35-year-old man with hypotony maculopathy caused by traumatic cyclodialysis was unsuccessfully treated with conservative medical therapy, laser photocoagulation, and direct cyclopexy. The intraocular pressure (IOP) was 2 mm Hg and the vision was counting finger with chorioretinal folds. Vitrectomy combined with gas tamponade and cryotherapy was performed without lens surgery 5 months after trauma. RESULTS: After vitrectomy, fundus photograph and optical coherence tomography revealed complete loss of preoperative chorioretinal folds. The visual acuity improved to 0.3 and IOP was maintained within a normal range during the 24 month follow-up. CONCLUSIONS: This case shows that vitrectomy combined with gas tamponade and cryotherapy is effective for the treatment of traumatic cyclodialysis with persistent hypotony, probably without lens surgery.
