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A case of hypotonic maculopathy caused by traumatic cyclodialysis finally cured by transscleral suture fixation of intraocular lens Yui Nakamura 1 , Hiroshi Hirose 1 , Isao Kito 1 1Department of Ophthalmology, National Hospital Organization Nagoya Medical Center pp.1304-1308
Published Date 2020/10/15
DOI https://doi.org/10.11477/mf.1410213711
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Abstract Purpose:To report a case of traumatic cyclodialysis with hypotonic maculopathy that persisted after various transscleral suture of intraocular lens(IOL).

Case:A 56-year-old male was referred to us for hypotonic maculopathy in his left eye. He had received severe trauma in the left eye 3 months before while involved in a fight. The left eye developed, reportedly, hyphema, extensive cyclodialysis, and ocular hypotony resulting in hypotonic maculopathy.

Findings and Clinical Course:Corrected visual acuity was 1.2 right and 0.5 left with intraocular pressure of 17 mmHg and 8 mmHg respectively. The left eye showed shallow anterior chamber, traumatic cataract and traumatic maculopathy. Cyclodialysis was present involving 270 degrees of whole circumference. Attempts with medical or surgical treatments proved futile including vitrectomy with gas tamponade with 20% SF6. Nineteen months after injury, IOP was sutured to the sclera. IOP rose to 43 mmHg one week later followed by resolution of maculopathy. He has been doing well until present with visual acuity of 1.5.

Conclusion:Transscleral suture of IOP was effective in the present case of protracted hypotensive maculopathy secondary to traumatic cyclodialysis.


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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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