1/32. ciliary body detachment caused by capsule contraction.A 74-year-old woman developed capsule contraction associated with hypotony and choroidal effusion 18 months after uneventful phacoemulsification with 3-piece poly(methyl methacrylate) intraocular lens implantation. Ultrasound biomicroscopy revealed ciliary body detachment and stretched zonules. A radial neodymium: YAG anterior capsulotomy was performed, resulting in the resolution of the ciliary body detachment and choroidal effusion as well as in normal intraocular pressure over 4 days.- - - - - - - - - - ranking = 1keywords = detachment (Clic here for more details about this article) |
2/32. Choroidal effusions and hypotony caused by severe anterior lens capsule contraction after cataract surgery.PURPOSE: To report the clinical features and management of two patients with pseudophakic anterior capsule contraction with secondary tractional ciliary body detachments and hypotonous choroidal effusions. methods: case reports. RESULTS: In two eyes of two patients with pseudophakia, severe anterior lens capsule contraction and tractional ciliary body detachments, anterior capsulotomy (one Nd:YAG laser, one surgical), was followed by resolution of the ocular hypotony and resolution/nonrecurrence of the choroidal effusions. In both cases, continuous curvilinear capsulorhexis was used during cataract surgery. CONCLUSION: Anterior capsule contraction following pseudophakia may result in tractional ciliary detachment and secondary ocular hypotony. Radial anterior capsulotomy appeared to be effective in both cases.- - - - - - - - - - ranking = 0.5keywords = detachment (Clic here for more details about this article) |
3/32. Postoperative descemet membrane detachment with maintenance of corneal clarity after trabeculectomy.This case report describes an unusual complication of descemet membrane detachment after anterior chamber reformation to treat a flat anterior chamber and hypotony from a trabeculectomy. This large descemet membrane detachment was unexpectedly associated with a clear cornea. Treatment was conservative, and the descemet membrane detachment spontaneously resolved in 6 months.- - - - - - - - - - ranking = 1.1666666666667keywords = detachment (Clic here for more details about this article) |
4/32. indocyanine green angiographic findings in 3 patients with traumatic hypotony maculopathy.PURPOSE: Little is known about the choroidal circulation in human eyes with ocular hypotony. Recently, indocyanine green angiography (IA) became a useful method for examining choroidal circulation. The present study using IA was designed to determine choroidal circulatory disturbances in patients with traumatic hypotony maculopathy. methods: indocyanine green angiography was performed on 3 consecutive patients (3 eyes) with traumatic hypotony. One patient underwent IA using an infrared fundus camera only during the hypotony stage. The other 2 patients underwent IA using a scanning laser ophthalmoscope before and after recovery of intraocular pressure (IOP). RESULTS: During the hypotony stage, IA revealed multiple hypofluorescent spots in many parts of the fundus, sector hypofluorescent areas, dilatation, and tortuosity of the choroidal vessels in the posterior pole. These findings had not been detected by fluorescein angiography. After surgical treatment, IOP returned to the normal range and visual acuity improved. indocyanine green angiography showed improvement of the sector hypofluorescent areas, and dilatation and tortuosity of choroidal vessels in the posterior pole. However, most of the hypofluorescent spots and regional delay of choroidal filling remained. CONCLUSIONS: indocyanine green angiography revealed that choroidal circulatory disturbances occurred during the hypotony stage and that some remained during the recovery stage.- - - - - - - - - - ranking = 0.00028506493465677keywords = posterior (Clic here for more details about this article) |
5/32. Serous retinal detachment and cystoid macular edema in hypotony maculopathy.PURPOSE: To report the foveal structural findings of hypotony maculopathy imaged with optical coherence tomography. methods: Case report of a 39-year-old white woman with a 20 year history of uveitis, who underwent pars plana vitrectomy and pars plana Baerveldt implant for intractable glaucoma. Four months postoperatively, decreased vision and hypotony maculopathy ensued. Optical coherence tomographic (OCT) images were taken horizontally through the macula. RESULTS: OCT demonstrated large intraretinal cysts, serous macular detachment, and choroidal folds, which resolved upon resolution of hypotony. CONCLUSION: Cystic macular changes and serous macular detachment can be prominent features of hypotony maculopathy.- - - - - - - - - - ranking = 1keywords = detachment (Clic here for more details about this article) |
6/32. Hypotony caused by scleral buckle erosion in marfan syndrome.PURPOSE: To describe hypotony caused by erosion of the conjunctiva and sclera by a silicone scleral buckle. methods: Interventional case report. A 33-year-old man with marfan syndrome presented with hypotony maculopathy and a collapsed globe 17 months after repair of retinal detachment with a silicone sponge and silicone encircling band. RESULTS: Examination in the operating room revealed extrusion of the buckle through the conjunctiva and full-thickness scleral erosion. The silicone buckle was removed, and the scleral defect was closed with interrupted 8-0 nylon sutures. Postoperative glaucoma was treated with cyclophotocoagulation. Eight months after scleral repair, visual acuity was RE: 20/40, intraocular pressure was 10 mm Hg, and the retina was attached. CONCLUSION: Full-thickness scleral erosion secondary to a silicone exoplant causing hypotony is a rare long-term complication in patients with thin sclera.- - - - - - - - - - ranking = 0.16666666666667keywords = detachment (Clic here for more details about this article) |
7/32. retinal detachment and phthisis bulbi after implantation of an iris prosthetic system.We report 2 eyes of 2 patients who developed persistent inflammation, hypotony, and total retinal detachment after secondary implantation of an iris prosthetic system (IPS) in association with cataract surgery. The first patient had an uneventful history of 16 years despite a retained intraocular glass foreign body and the second patient, of 38 years after sustaining penetrating corneoscleral injury with iris tissue loss. Both patients were thoroughly assessed clinically, and the enucleated globe in the first patient was examined by light microscopy. Both eyes had chronic inflammation with retrocorneal and cyclitic membrane formation around the artificial iris-lens diaphragm. These cases suggest that implantation of an IPS combined with cataract surgery can trigger decompensation of posttraumatic eyes that had been stable over a long period.- - - - - - - - - - ranking = 0.83333333333333keywords = detachment (Clic here for more details about this article) |
8/32. Choroidal detachment associated with retinal detachment as a presenting finding.Choroidal detachment along with retinal detachment as a presenting finding is rare. We identified five such cases presenting to our ophthalmology practice between 1964 and 1991. The patient is usually myopic and presents with marked visual loss, profound hypotony and a marked anterior chamber reaction. The pathogenesis seems to revolve around the hypotony and myopia and an unstable choroidal vascular system. Management usually involves a scleral buckling procedure with cryotherapy under direct visualization to release choroidal and subretinal fluid, possibly preceded by a few days of anti-inflammatory therapy. The overall prognosis is poor owing to delays in diagnosis and the postoperative development of proliferative vitreoretinopathy.- - - - - - - - - - ranking = 1.6666666666667keywords = detachment (Clic here for more details about this article) |
9/32. Hypotonus maculopathy: magnetic resonance appearance.PURPOSE: To report the magnetic resonance appearance of hypotonus maculopathy. DESIGN: Observational case report. methods: A 48-year-old man with a long history of glaucoma and subsequent trabeculectomy in the right eye developed hypotonus maculopathy. visual acuity continued to decrease in both eyes of a relatively young individual with severe primary open angle glaucoma. A magnetic resonance image was requested to look for a compressive optic neuropathy. RESULTS: magnetic resonance imaging showed an abnormal plaquelike thickening of the macula and flattening of the posterior globe. CONCLUSION: To our knowledge, this is the first case report of the magnetic resonance appearance of hypotonus maculopathy.- - - - - - - - - - ranking = 0.00014253246732838keywords = posterior (Clic here for more details about this article) |
10/32. iris atrophy, serous detachment of the ciliary body, and ocular hypotony in chronic phase of Vogt-Koyanagi-Harada disease.PURPOSE: To describe iris atrophy, serous detachment of the ciliary body, and ocular hypotony in a patient with chronic phase of Vogt-Koyanagi-Harada (VKH) disease. methods: Ocular examination and follow-up including digital infrared transillumination imaging of the iris was done in a 52-year-old woman with chronic phase of VKH disease. RESULTS: Infrared transillumination imaging showed extensive atrophy of the iris stroma and occasional pigment clumps both in the pupillary and ciliary zones of the iris, and detachment of the ciliary body in both eyes. Conventional transpupillary transillumination using white light showed only minute patchy atrophy of the pigment epithelium in the pupillary zone. Treatment did not normalize bilateral shallow retinal detachment of the posterior pole, serous detachment of the ciliary body, or severe ocular hypotony. CONCLUSIONS: Severe atrophy of the iris stroma, retinal detachment of the posterior pole, serous detachment of the ciliary body, and ocular hypotony may occur in chronic phase of VKH disease.- - - - - - - - - - ranking = 1.6669517316013keywords = detachment, posterior (Clic here for more details about this article) |
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