Chaudhry N A, Flynn H W, Palmberg P F
Bascom Palmer Eye Institute, Department of Ophthalmology, University of Miami, School of Medicine, FL 33101, USA.
Ophthalmic Surg Lasers. 1999 Sep-Oct;30(8):678-80.
We describe a case of hypotony maculopathy in which hypotony was due to a cyclodialysis cleft produced by an elastic cord injury. Sixteen months after being hit with an elastic cord, a 43-year-old white male presented with progressive loss of vision in the right eye. The visual acuity in the right eye was 1/200 due, in part, to a subluxated and cataractous lens. The intraocular pressure (IOP) was 4 mm Hg. Gonioscopy revealed a cyclodialysis cleft at the 2 o'clock position, and fundus examination showed hypotony maculopathy. The patient underwent pars plana vitrectomy, pars plana lensectomy, repair of the cyclodialysis cleft, placement of an anterior chamber intraocular lens, and tightly sutured trabeculectomy without antimetabolite. Sixteen months following surgery, visual acuity was stable at 20/60 and IOP was 11 mm Hg but the chorioretinal folds persisted.
我们描述了一例低眼压性黄斑病变，其低眼压是由弹性绳索损伤导致的睫状体分离裂隙引起的。一名43岁白人男性在被弹性绳索击中16个月后，右眼视力逐渐下降。右眼视力为1/200，部分原因是晶状体半脱位和白内障。眼压（IOP）为4 mmHg。前房角镜检查显示在2点钟位置有睫状体分离裂隙，眼底检查显示有低眼压性黄斑病变。患者接受了玻璃体切割术、晶状体切除术、睫状体分离裂隙修复术、前房型人工晶状体植入术以及未使用抗代谢药物的紧密缝合小梁切除术。术后16个月，视力稳定在20/60，眼压为11 mmHg，但脉络膜视网膜皱褶仍然存在。
