J Korean Ophthalmol Soc.  2013 Dec;54(12):1935-1938.

A Case of Traumatic Hypotony Maculopathy Treated by Intravitreal Air Injection

• Park BJ
• Shin HJ
• Kim HC

Abstract

PURPOSE
To report a case of traumatic hypotony maculopathy treated by intravitreal air injection.
CASE SUMMARY
A 20-year-old female presented with decreased visual acuity in the left eye 2 days after trauma. Best corrected visual acuity (BCVA) was 0.5 and the intraocular pressure (IOP) was 5 mm Hg. Indirect ophthalmoscopy revealed chorioretinal folds in the macular area. Gonioscopy showed angle recession from 4 to 7 o'clock. Initially, pressure patching and conservative management were performed on the left eye 10 days after examination. However, deterioration of the chorioretinal fold was observed without any change in IOP. Finally, intravitreal air injection (0.5 cc) was performed 10 days after the start of conservative treatments. Following air injection, the normalization of IOP and gradual reduction of chorioretinal fold was observed. BCVA improved to 1.0 and IOP was maintained between 12 and 14 mm Hg for 24 months after the air injection.
CONCLUSIONS
Intravitreal air injection may safely and effectively treat traumatic hypotony maculopathy.

Keyword

Hypotony maculopathy; Intravitreal air injection

MeSH Terms

Female
Gonioscopy
Humans
Intraocular Pressure
Ophthalmoscopy
Visual Acuity
Young Adult

Figure

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  Figure 1. Preoperative fundoscopy and spectral domain optical coherence tomography (SD-OCT) in the three dimensional image show chorioretinal folds and retinal thickening at macula area.

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  Figure 2. After intravitreal air injection, fundoscopy and spectral domain optical coherence tomography (SD-OCT) in the three dimensional image show that chorioretinal folds are resolved.

Reference

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