BACKGROUND: In hypotonic maculopathy with a shallow anterior chamber, it is difficult to delineate the extent of cyclodialysis. Reoperations are often reported, and a method of management for hypotonic maculopathy is not yet established. CASES: We treated three patients with hypotonic maculopathy due to blunt trauma. Case 1 did not improve after two cryoablations, two cyclopexies, and a laser photocoagulation treatment. Cases 2 and 3 did not improve after a single laser photocoagulation treatment. All cases exhibited retinal breaks, and underwent 360-degree scleral buckling. RESULTS: In all cases, intraocular pressure was normalized soon after the surgery. We found that ultrasound biomicroscopy (UBM) was helpful in clarifying cyclodialysis, and that optical coherence tomography(OCT) was useful to observe morphologic changes of the macula in detail. CONCLUSION: This procedure is considered to be useful in the treatment of hypotonic maculopathy.
BACKGROUND: In hypotonic maculopathy with a shallow anterior chamber, it is difficult to delineate the extent of cyclodialysis. Reoperations are often reported, and a method of management for hypotonic maculopathy is not yet established. CASES: We treated three patients with hypotonic maculopathy due to blunt trauma. Case 1 did not improve after two cryoablations, two cyclopexies, and a laser photocoagulation treatment. Cases 2 and 3 did not improve after a single laser photocoagulation treatment. All cases exhibited retinal breaks, and underwent 360-degree scleral buckling. RESULTS: In all cases, intraocular pressure was normalized soon after the surgery. We found that ultrasound biomicroscopy (UBM) was helpful in clarifying cyclodialysis, and that optical coherence tomography(OCT) was useful to observe morphologic changes of the macula in detail. CONCLUSION: This procedure is considered to be useful in the treatment of hypotonic maculopathy.
Authors: Julio González-Martín-Moro; Inés Contreras-Martín; Francisco José Muñoz-Negrete; Fernando Gómez-Sanz; Jesús Zarallo-Gallardo Journal: Int Ophthalmol Date: 2016-07-08 Impact factor: 2.031