A Case of Sudden Refractive Change with Intraocular Pressure Change Following Trauma.

Yoo, Mun Hyun; Park, Hye Young; Choi, Dong Gyu; Yi, Ka Young

Case Report

Journal of the Korean Ophthalmological Society 2006;47(2):338-342.
Published online February 28, 2006.

A Case of Sudden Refractive Change with Intraocular Pressure Change Following Trauma.

Mun Hyun Yoo, Hye Young Park, Dong Gyu Choi, Ka Young Yi

Department of Ophthalmology, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University, Seoul, Korea. kayoungyi@yahoo.co.kr

외상 후 안압변화와 동반된 급격한 굴절력 변화 1예

유문현,박혜영,최동규,이가영

Department of Ophthalmology, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University, Seoul, Korea

Correspondence: Mun Hyun Yoo, M.D.

Abstract

PURPOSE
To report a case of refractive change with intraocular pressure change following trauma. METHODS: Changes in intraocular pressure, refractive power, lens thickness, depth of anterior chamber, and axial length of an 8-year-old girl were measured. RESULTS: During the early period after trauma, the patient showed low intraocular pressure and shallow anterior chamber depth. The refractive power changed to transient high myopia. With temporary high intraocular pressure, the refractive power changed to hyperopia and the refractive power recovered toward emmetropia as the intraocular pressure fell to the normal level. Refractive alteration is a result of changes in intraocular pressure and depth of the anterior chamber by cyclodialysis cleft and its adhesion is induced by trauma to the eye. Herein, the authors show evidence for a relationship between refractive change and posttraumatic ocular change.

Key Words: Cyclodialysis cleft;Intraocular pressure;Refractive power;Trauma