J Korean Ophthalmol Soc.  2006 Oct;47(10):1691-1695.

Treatment of Hypotony Maculopathy Caused by Traumatic Cyclodialysis with Vitrectomy, Gas Tamponade, and Cryotherapy

• Kim C
• Yu HG

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.

Keyword

Cyclodialysis; Hypotony maculopathy; Vitrectomy

MeSH Terms

Adult
Cryotherapy*
Fingers
Follow-Up Studies
Humans
Intraocular Pressure
Laser Therapy
Light Coagulation
Reference Values
Tomography, Optical Coherence
Visual Acuity
Vitrectomy*