Abstract
Purpose
We report our results in four cases of hypotony maculopathy caused by traumatic cyclodialysis and treated by combined vitrectomy and cataract surgery.
Methods
The patients' visual acuities ranged from light perception to 0.2, and intraocular pressures ranged from 4.7 to 5.7 mmHg (mean 5.1 mmHg) before surgery. Ultrasound biomicroscopy (UBM) revealed cyclodialysis associated with ciliary body detachment of 180° to 360°. We performed combined vitrectomy and cataract surgery, with pars plana cryopexy for detached ciliary body and an SF6 gas tamponade.
Results
Postoperative UBM showed that cyclodialysis and/or ciliary body detachment disappeared in the whole circumference of two eyes, while it partially remained at 15° in one eye and at 30° in one eye. Postoperative visual acuity ranged from 0.06 to 1.2, with IOP ranging from 9.0 to 14.7 mmHg (mean 12.2 mmHg).
Conclusions
Based on our results, we consider that the present combined therapy is highly reliable for closing and adhering traumatic cyclodialysis and normalizing hypotony.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Chandler PA, Maumenee AE (1961) A major cause of hypotony. Am J Ophthalmol 52:609–618
Dellaporta A, Ober MF (1964) Hyposecretion hypotony; experimental hypotony through detachment of the uvea. Am J Ophthalmol 58:785–789
Helbig H, Foerster MH (1996) Management of hypotonous cyclodialysis with pars plana vitrectomy, gas tamponade, and cryotherapy. Ophthalmic Surg Lasers 27:188–191
Hoerauf H, Roider J, Laqua H (1999) Treatment of traumatic cyclodialysis with vitrectomy, cryotherapy, and gas endotamponade. J Cataract Refract Surg 25:1299–1301
Kumakura S, Nonaka R, Usui M (1992) A case of hypotony maculopathy caused by traumatic cyclodialysis untreated for 6 years. Jpn Rev Clin Ophthalmol 86:2476–2479
Maruyama I, Katsushima H, Hibiki T, Nakagawa T (2000) Prognosis of traumatic hypotony maculopathy. Folia Ophthalmol Jpn 51:93–96
Nakagawa T, Otori Y, Ohji M, Tano Y, Morimura H (2004) A case of traumatic hypotonic maculopathy treated with vitrectomy, cryotherapy and scleral buckling. Folia Ophthalmol Jpn 55:35–38
Saito Y, Iijima H (1996) Surgical repair in six cases of cyclodialysis with persistent hypotony. Folia Ophthalmol Jpn 47:443–446
Shea M, Mendnick EB (1981) Ciliary body reattachment in ocular hypotony. Arch Ophthalmol 99:278–281
Shimizu T, Matsumura A (1986) Surgical treatment of two cases with ocular hypotony due to traumatic cyclodialysis. Rinsho Ganka (Jpn J Clin Ophthalmol) 40:1151–1155
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Takaya, K., Suzuki, Y. & Nakazawa, M. Four cases of hypotony maculopathy caused by traumatic cyclodialysis and treated by vitrectomy, cryotherapy, and gas tamponade. Graefe's Arch Clin Exp Ophthalmo 244, 855–858 (2006). https://doi.org/10.1007/s00417-005-0134-0
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00417-005-0134-0