J Korean Ophthalmol Soc.
2006 Feb;47(2):319-322.
Treatment of Hypotony Retinopathy with Cyclodialysis Cleft by Intravitreal Gas Injection
- Affiliations
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- 1Department of Ophthalmology, Gachon Medical School, Gil Medical Center, Incheon, Korea.
- 2Bright Eye Clinic, Seoul, Korea. eyedoc@gilhospital.com
Abstract
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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.
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