Chalam Kakarla V, Brar Vikram S, Murthy Ravi K
From the Department of Ophthalmology, College of Medicine, University of Florida, Jacksonville, Florida.
Retin Cases Brief Rep. 2010 Fall;4(4):317-9. doi: 10.1097/ICB.0b013e3181b5f299.
To describe the spectral-domain optical coherence tomography features in a patient with an atypical presentation of hypotonous maculopathy after successful retinal detachment surgery.
A 64-year-old man underwent scleral buckling with pars plana vitrectomy for the repair of retinal detachment. Postoperatively, the retina was attached but he had poor recovery of vision. Intraocular pressure was recorded to be on the lower side of normal. He underwent posterior segment evaluation by spectral-domain optical coherence tomography.
Spectral-domain optical coherence tomography revealed cystoid macular edema and a neurosensory detachment involving the posterior pole. In addition, underneath the neurosensory detachment, spectral-domain optical coherence tomography revealed folds of the retinal pigment epithelium and Bruch membrane, features of hypotonous maculopathy.
Spectral-domain optical coherence tomography is a useful investigational modality in the diagnosis of ocular hypotony presenting with atypical features.
描述视网膜脱离手术成功后出现低眼压性黄斑病变非典型表现患者的频域光学相干断层扫描特征。
一名64岁男性接受巩膜扣带联合玻璃体切割术修复视网膜脱离。术后，视网膜复位，但视力恢复不佳。记录眼压处于正常范围下限。他接受了频域光学相干断层扫描进行眼后段评估。
频域光学相干断层扫描显示黄斑囊样水肿以及累及后极部的神经感觉层脱离。此外，在神经感觉层脱离下方，频域光学相干断层扫描显示视网膜色素上皮和布鲁赫膜的褶皱，这是低眼压性黄斑病变的特征。
频域光学相干断层扫描是诊断具有非典型特征的低眼压的一种有用的检查方法。
