Treatment of Hypotony Retinopathy with Cyclodialysis Cleft by Intravitreal Gas Injection.

Moon, Hyun Seung; Nam, Dong Heun; Kim, Sun Wook

Case Report

Journal of the Korean Ophthalmological Society 2006;47(2):319-322.
Published online February 28, 2006.

Treatment of Hypotony Retinopathy with Cyclodialysis Cleft by Intravitreal Gas Injection.

Hyun Seung Moon, Dong Heun Nam, Sun Wook Kim

¹Department of Ophthalmology, Gachon Medical School, Gil Medical Center, Incheon, Korea.
²Bright Eye Clinic, Seoul, Korea. eyedoc@gilhospital.com

유리체강내 가스주입술로 치유된 모양체해리를 동반한 저안압 망막병증

문현승¹,남동흔¹,김선욱²

Department of Ophthalmology, Gachon Medical School, Gil Medical Center¹, Incheon, Korea Bright Eye Clinic², Seoul, Korea

Correspondence: Hyun Seung Moon, M.D.¹

Abstract

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.

Key Words: Cyclodialysis;Hypotony retinopathy;Intravitreal gas Injection