First Author: A.Abolhasani IRAN
Co Author(s): S. Naghib K. Sheibani
Purpose:
to report the clinical signs, diagnosis and treatment of a case of low IOP after sclera rupture surgery.
Setting:
Basir Eye Center
Methods:
patient was a 29 year old man who came to our clinic with a history of LASIK procedure in both eyes eight years ago. Both eyes had a postoperative UCVA both 10/10 after the LASIK. The patient gave a history of scleral rupture (3 mm) in temporal region of his left eye following trauma two weeks prior to admission. The sclera rupture was treated followed and patient was discharged with UCVA 8/10 in injured eye, and mild vitral hemorrhage. Two weeks later he was admitted again with low IOP and sub-tenon injection of triamcinolone. Despite injection the hypotony did not improve and 10 days later the patientÂ’s was admitted to our center with maculopathy and count fingers vision
Results:
In slit lamp examination a change in anterior chamber dept in temporal region and in gonioscopy cyclodialysis were observed. After performing Ultrasound Biomicroscopy the local steroid dosage was reduced and the patient underwent cryocyclotherapy. Two weeks after the surgery the IOP was reduced to 17 mmHg and the UCVA improved to 8/10.
Conclusions:
In patients with eye trauma the examiner should give attention to anterior chamber depth, asymmetry of corneal contour, and hypotonia. If any is present ultrasound biomicroscopy should be performed to rule out cyclodialysis. FINANCIAL DISCLOSURE?: No
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