Severe hypotony after macular translocation surgery with 360-degree retinotomy

To report a case of severe hypotony after macular translocation with 360-degree retinotomy. Interventional case report. A 50-year-old woman with myopic neovascular maculopathy underwent macular translocation with 360-degree retinotomy in her left eye. After the second procedure of silicone oil remov...

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Bibliographic Details
Published in:American journal of ophthalmology 2002-07, Vol.134 (1), p.139-141
Main Authors: ICHIBE, Mikio, YOSHIZAWA, Toyohisa, FUNAKI, Shigeo, FUNAKI, Haruko, OZAWA, Yumi, TANAKA, Yoko, ABE, Haruki
Format: Article
Language:English
Subjects:
Biological and medical sciences
Choroid Diseases - diagnostic imaging
Ciliary Body - diagnostic imaging
Ciliary Body - injuries
Female
Fluorocarbons - therapeutic use
Humans
Intraocular Pressure
Medical sciences
Middle Aged
Myopia - complications
Ocular Hypotension - etiology
Ocular Hypotension - therapy
Postoperative Complications
Retina - surgery
Retina - transplantation
Retinal Neovascularization - etiology
Retinal Neovascularization - surgery
Rupture
Silicone Oils - therapeutic use
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the eye and orbit
Ultrasonography
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Summary:To report a case of severe hypotony after macular translocation with 360-degree retinotomy. Interventional case report. A 50-year-old woman with myopic neovascular maculopathy underwent macular translocation with 360-degree retinotomy in her left eye. After the second procedure of silicone oil removal, severe hypotony developed. No clear sign of leakage was found. Pure perfluoropropane gas tamponade was then performed, which resulted in temporal resolution of severe hypotony, but the hypotony recurred as the gas bubble was absorbed. Ten weeks after the second surgery, the hypotonous eye was refilled with silicone oil. No apparent cyclitic membrane was observed intraoperatively. After this procedure, the choroidal and retinal folds regressed; intraocular pressure has been between 5 and 7 mm Hg for more than 4 months thereafter. Severe hypotony can occur as a complication of otherwise uneventful macular translocation with 360-degree retinotomy.
ISSN:0002-9394
1879-1891
DOI:10.1016/S0002-9394(02)01502-7