Surgical management of ocular hypotony

Demeler, U

doi:10.1038/eye.1988.16

Cited by 25 publications

(9 citation statements)

References 3 publications

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“…The primary decrease in vision can be related to chorioretinal folds in the macular area, with distortion and malalignment of the retinal photoreceptors. Once the IOP returns to normal, the folds may disappear completely (8) . In cases of prolonged hypotony, pigmented lines resulting from changes in the retinal pigment epithelium (RPE) may persist and decrease the final visual acuity (9) .…”

Section: Discussionmentioning

confidence: 99%

“…Severe persistent ocular hypotony leads to progressive cataract, chronic inflammation, cilio choroidal effusion, and hypotony maculopathy with marked vision loss (1,8) . The primary decrease in vision can be related to chorioretinal folds in the macular area, with distortion and malalignment of the retinal photoreceptors.…”

Section: Discussionmentioning

confidence: 99%

“…Intraocular surgeries that mani pulate the iris were also reported to be important causes of iatrogenic cyclodialysis (1,3,5) , which became less common with the development of better intraocular surgical techniques. Cyclodialysis is a rare condition (3,6) and results in a shallow anterior chamber, ciliochoroidal detachment, ocular hypotony, and hypotony maculopathy with loss of vision (5,7,8) . Gonioscopy is the best way to examine the structures of the angle (9) , but in some eyes with shallow anterior chambers, hyphema, and corneal opacity, a cyclodialysis cleft may not be visible on clinical examination (3,4,6) .…”

Section: Introductionmentioning

confidence: 99%

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Direct cyclopexy surgery for post-traumatic cyclodialysis with persistent hypotony: ultrasound biomicroscopic evaluation

Murta¹,

Mitne²,

Allemann³

et al. 2014

Arquivos Brasileiros De Oftalmologia

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Cyclodialysis is a relatively rare condition usually caused by ocular injury; however, it can also be caused iatrogenically during intraocular surgery. Hypotony maculo pathy is the most important complication and the primary reason for visual loss. Clinical diagnosis using gonioscopy may be difficult, and ultrasound biomicroscopy (UBM) can be an alternative. There are different kinds of treatments, and the opti mal one remains controversial. Here we describe a case of traumatic cyclodialysis with persistent ocular hypotony treated by direct cyclopexy, as illustrated by UBM performed before and after surgery.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Direct cyclopexy surgery for post-traumatic cyclodialysis with persistent hypotony: ultrasound biomicroscopic evaluation

Murta¹,

Mitne²,

Allemann³

et al. 2014

Arquivos Brasileiros De Oftalmologia

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“…If it is persistent, transcleral diode laser to the cleft is applied. Direct surgical closure is required if medical treatments fail [38].…”

Section: Types Of Blast Injury (A) Primary Blast Injurymentioning

confidence: 99%

The injured eye

Scott

2011

Phil. Trans. R. Soc. B

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Eye injuries come at a high cost to society and are avoidable. Ocular blast injuries can be primary, from the blast wave itself; secondary, from fragments carried by the blast wind; tertiary; due to structural collapse or being thrown against a fixed object; or quaternary, from burns and indirect injuries. Ballistic eye protection significantly reduces the incidence of eye injuries and should be encouraged from an early stage in Military training. Management of an injured eye requires meticulous history taking, evaluation of vision that measures the acuity and if there is a relative pupillary defect as well as careful inspection of the eyes, under anaesthetic if necessary. A lateral canthotomy with cantholysis should be performed immediately if there is a sight-threatening retrobulbar haemorrhage. Systemic antibiotics should be prescribed if there is a suspected penetrating or perforating injury. A ruptured globe should be protected by an eye shield. Primary repair of ruptured globes should be performed in a timely fashion. Secondary procedures will often be required at a later date to achieve sight preservation. A poor initial visual acuity is not a guarantee of a poor final result. The final result can be predicted after approximately 3-4 weeks. Future research in eye injuries attempts to reduce scarring and neuronal damage as well as to promote photoreceptor rescue, using posttranscriptional inhibition of cell death pathways and vaccination to promote neural recovery. Where the sight has been lost sensory substitution of a picture from a spectacle mounted video camera to the touch receptors of the tongue can be used to achieve appreciation of the outside world.

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“…Одним из тяжелейших исходов механической травмы глаза является длительная и стойкая гипотония, которая встречается в 2-9 % слу-чаев [19]. Зачастую причиной гипотонии служит отслойка цилиарного тела (ОЦТ), которая так-же может быть следствием прободных ранений склеры и оперативных вмешательств [16,21,32].…”

Section: Introductionunclassified