Treatment of Hypotony Retinopathy with Cyclodialysis Cleft by Intravitreal Gas Injection.
- Author:
Hyun Seung MOON
1
;
Dong Heun NAM
;
Sun Wook KIM
Author Information
1. Department of Ophthalmology, Gachon Medical School, Gil Medical Center, Incheon, Korea.
- Publication Type:Case Report
- Keywords:
Cyclodialysis;
Hypotony retinopathy;
Intravitreal gas Injection
- MeSH:
Adult;
Anesthesia;
Anterior Chamber;
Follow-Up Studies;
Gonioscopy;
Humans;
Hyphema;
Intraocular Pressure;
Macular Edema;
Reference Values;
Visual Acuity;
Wounds and Injuries
- From:Journal of the Korean Ophthalmological Society
2006;47(2):319-322
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: We report a case of post-traumatic hypotony retinopathy with cyclodialysis cleft treated by intravitreal gas injection. METHODS: A 38-year-old man presented with decreased visual acuity after blunt trauma to the left eye. Visual acuity of the left eye was 0.06 and intraocular pressure was 1 mmHg. No external wound was found. The anterior chamber showed a microscopic hyphema and, upon funduscopic examination, mild macular edema and striae were seen. The cyclodialysis was identified using gonioscopy. We treated the patient with intravitreal gas (perfluoropropane, C3F8) injection under topical anesthesia and tracked the outcome of this treatment. RESULTS: On the first postoperative day, intraocular pressure fell to the normal range. After 7 days the visual acuity improved to 1.0. During a follow-up period of 10 months, intraocular pressure and visual acuity remained in their normal range. CONCLUSIONS: Intravitreal gas injection offers a safe and effective method of treating hypotony retinopathy with cyclodialysis cleft.
