J Korean Ophthalmol Soc.  2010 Jul;51(7):1028-1031. 10.3341/jkos.2010.51.7.1028.

Treatment of Hypotony Maculopathy Caused by Silicone Oil Removal With Gas Tamponade

• Kim JR
• Kim IT

• KMID: 2213797
• DOI: http://doi.org/10.3341/jkos.2010.51.7.1028

Abstract

PURPOSE
To report a case of hypotony maculopathy after silicon oil removal treated by intravitreal gas injection.
CASE SUMMARY
A 35-year-old women presented with decreased visual acuity of the right eye for two weeks. Retinal detachment with peripheral retinal tears was observed in the patient's right eye. Pars plana vitrectomy including lensectomy, endolaser photo-coagulation and silicone oil injection was performed. Silicone oil removal was performed to improve patient's visual acuity two months after the operation. After the silicone oil removal, visual acuity was decreased to hand motion, and intraocular pressure was decreased below 3 mmHg while observing chorioretinal folding in fundus for two months. Intraviteal C3F8 gas injections were performed three times in the two months after silicone oil removal. After three gas injections, gradual reduction of chorioretinal folding was observed. Visual acuity was improved to 0.2 and IOP was maintained at 8 to 10 mmHg for 18 months after the last gas injection.
CONCLUSIONS
Intravitreal gas injection offers a safe and effective method for treating hypotony retinopathy after silicon oil removal.

Keyword

Silione oil removal; Hypotony macularpathy; Intravitreal gas injection

MeSH Terms

Adult
Eye
Female
Hand
Humans
Intraocular Pressure
Patient Rights
Retinal Detachment
Retinal Perforations
Silicone Oils
Visual Acuity
Vitrectomy
Silicone Oils

Figure

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  Figure 1. Fundus photograph shows signs of hypotony after silicone oil removal: chorioretinal folds and vascular tortuosity are observed.

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  Figure 3. Fundus photograph shows loss of chorioretinal folds and vascular tortuosity after intravitreal C3F8 gas injection.

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  Figure 2. OCT image shows severe chorioretinal folds after silicone oil removal.

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  Figure 4. OCT image shows marked decrease in chorioretinal folds after intravitreal C3 F8 gas injection.

Reference

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