외상성 섬모체해리로 인한 저안압황반병증 환자에서 가스주입술 및 냉동치료를 병행한 유리체절제술로 치료한 1예

• 영문명: Treatment of Hypotony Maculopathy Caused by Traumatic Cyclodialysis with Vitrectomy, Gas Tamponade, and Cryotherapy
• 발행기관: 대한안과학회
• 저자명: 김신우 유형곤,Cinoo Kim, M.D., Hyeong Gon Yu, M.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume47,number10, 1691~1695쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2006.10.31

영문 초록

Purpose: To report a case of hypotony maculopathy caused by traumatic cyclodialysis and treated by vitrectomy combined with gas tamponade and cryotherapy. Methods: A 35-year-old man with hypotony maculopathy caused by traumatic cyclodialysis was unsuccessfully treated with conservative medical therapy, laser photocoagulation, and direct cyclopexy. The intraocular pressure (IOP) was 2 mm Hg and the vision was counting finger with chorioretinal folds. Vitrectomy combined with gas tamponade and cryotherapy was performed without lens surgery 5 months after trauma. Results: After vitrectomy, fundus photograph and optical coherence tomography revealed complete loss of preoperative chorioretinal folds. The visual acuity improved to 0.3 and IOP was maintained within a normal range during the 24 month follow-up. Conclusions: This case shows that vitrectomy combined with gas tamponade and cryotherapy is effective for the treatment of traumatic cyclodialysis with persistent hypotony, probably without lens surgery.

키워드

Cyclodialysis, Hypotony maculopathy, Vitrectomy