Anterior chamber injection of viscoelastic material was effective in a case of hypotony maculopathy following vitrectomy Hiroshi Matsunaga 1 , Tetsuya Nishimura 2 , Maiyo Matsumura 2 1Dept of Ophthalmol, Kansai Med Univ Kori Hosp 2Dept of Ophthalmol, Kansai Med Univ pp.1203-1206
Published Date 2001/6/15
DOI https://doi.org/10.11477/mf.1410909026
  • Abstract
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A 39-year-old male underwent scleral buckling for rhegmatogenous retinal detachment in both eyes. The right eye then received vitrectomy for proliferative membrane temporal to the macula. Hypotony maculopathy developed 4 months later. After persistent ocular hypotony for another 4 months, the right eye received removal of residual anterior vitreous. This procedure failed to improve ocular hypotony. We then injected viscoelastic material into the anterior chamber. This was followed by normalization of intraocular pressure and improvement of maculopathy. It appeared that aqueous hyposecretion was induced by traction to the ciliary body by residual anterior vitreous following the first vitrectomy. Injection of viscoelastic material into the anterior chamber would have closed ciliary detachment with restored aqueous secretion. This case illustrates that injection of viscoelastic material into the anterior chamber may be effective for hypotony maculopathy.

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