외상섬모체해리에서 시행한 부분 공막편을 이용한 경공막 섬모체유착술 1예

• 영문명: Transscleral Cyclopexy Using Partial-Thickness Scleral Flap for Repairing Cyclodialysis Cleft: a Case Report
• 발행기관: 대한안과학회
• 저자명: 박한석(Han Seok Park) 최신영(Shin Young Choi) 장효주(Hyo Ju Jang) 안재홍(Jae Hong Ahn)
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume60,number4, 393~398쪽, 전체 6쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2019.04.30

영문 초록

Purpose: To report a case of a cyclodialysis cleft that was successfully managed with gonioscopically guided transscleral cyclopexy using partial-thickness scleral flap. Case summary: A 44-year-old man complaining of blurred vision in the left eye after blunt trauma was referred to our hospital. The intraocular pressure (IOP) was 4 mmHg and the visual acuity was counting finger. Gonioscopy examination revealed cyclodialysis cleft from 3 to 6 o’clock and fundus examination revealed macular folds. After the failure of conservative medical therapy and laser photocoagulation, gonioscopically guided transscleral cyclopexy using partial-thickness scleral flap was performed. Four months later, the IOP was 18 mmHg, the visual acuity was 0.8, and fundus examination showed the disappearance of the macular folds. Conclusions: Transscleral cyclopexy using partial-thickness scleral flap is a safe and effective method to treat hypotony maculopathy due to cyclodialysis and to minimize pupil distortion. J Korean Ophthalmol Soc 2019;60(4):393-398

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키워드

Cyclodialysis Cyclopexy Gonioscopy Hypotonic maculopathy Traumatic hypotony