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Optical coherence tomography imaging of chorioretinal folds associated with hypotony maculopathy following pars plana vitrectomy.

Williams BK, Chang JS, Flynn HW - Int Med Case Rep J (2015)

Bottom Line: Chorioretinal folds may occur as a consequence of hypotony and can be a cause of vision loss when associated with macular involvement.In this report, the spectral domain ocular coherence tomography imaging of three patients with chorioretinal folds before and after management are presented.The cases had unique presentations and each underwent different management approaches, but the results included improved visual acuities and lessened chorioretinal folds.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA.

ABSTRACT
Chorioretinal folds may occur as a consequence of hypotony and can be a cause of vision loss when associated with macular involvement. In this report, the spectral domain ocular coherence tomography imaging of three patients with chorioretinal folds before and after management are presented. The cases had unique presentations and each underwent different management approaches, but the results included improved visual acuities and lessened chorioretinal folds.

No MeSH data available.


Related in: MedlinePlus

After surgical repair of the retinal detachment and subsequent removal of silicone oil, the postoperative SD-OCT demonstrating chorioretinal folds is shown in (A) with improvement but not complete resolution of the folds in (B).Abbreviation: SD-OCT, spectral domain ocular coherence tomography.
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f1-imcrj-8-199: After surgical repair of the retinal detachment and subsequent removal of silicone oil, the postoperative SD-OCT demonstrating chorioretinal folds is shown in (A) with improvement but not complete resolution of the folds in (B).Abbreviation: SD-OCT, spectral domain ocular coherence tomography.

Mentions: At 1 year following surgery, he maintained a BCVA 20/30 and IOP 12 mmHg, and the silicone oil was removed. In the immediate postoperative period, the eye was noted to have a BCVA of 2/200 and an IOP of 3 mmHg. An ultrasound study demonstrated an irregular retinal contour. Seven days later, an air bubble was injected to pressurize the eye with hypotony-induced chorioretinal folds. A repeat fluid–air exchange was performed in the clinic 9 days after surgery. The following day, the BCVA was 20/400 with IOP 4 mmHg and associated chorioretinal fold in the macula was documented by SD-OCT (Figure 1A). He was treated with oral prednisone 30 mg and topical difluprednate. Two weeks following surgery, the BCVA was 20/200 with an improved IOP of 10 mmHg and a persistent fold. Two months after the silicone oil removal, the patient returned with a BCVA of 20/25 and IOP 9 mmHg. The chorioretinal fold was markedly improved but not completely absent (Figure 1B).


Optical coherence tomography imaging of chorioretinal folds associated with hypotony maculopathy following pars plana vitrectomy.

Williams BK, Chang JS, Flynn HW - Int Med Case Rep J (2015)

After surgical repair of the retinal detachment and subsequent removal of silicone oil, the postoperative SD-OCT demonstrating chorioretinal folds is shown in (A) with improvement but not complete resolution of the folds in (B).Abbreviation: SD-OCT, spectral domain ocular coherence tomography.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4581779&req=5

f1-imcrj-8-199: After surgical repair of the retinal detachment and subsequent removal of silicone oil, the postoperative SD-OCT demonstrating chorioretinal folds is shown in (A) with improvement but not complete resolution of the folds in (B).Abbreviation: SD-OCT, spectral domain ocular coherence tomography.
Mentions: At 1 year following surgery, he maintained a BCVA 20/30 and IOP 12 mmHg, and the silicone oil was removed. In the immediate postoperative period, the eye was noted to have a BCVA of 2/200 and an IOP of 3 mmHg. An ultrasound study demonstrated an irregular retinal contour. Seven days later, an air bubble was injected to pressurize the eye with hypotony-induced chorioretinal folds. A repeat fluid–air exchange was performed in the clinic 9 days after surgery. The following day, the BCVA was 20/400 with IOP 4 mmHg and associated chorioretinal fold in the macula was documented by SD-OCT (Figure 1A). He was treated with oral prednisone 30 mg and topical difluprednate. Two weeks following surgery, the BCVA was 20/200 with an improved IOP of 10 mmHg and a persistent fold. Two months after the silicone oil removal, the patient returned with a BCVA of 20/25 and IOP 9 mmHg. The chorioretinal fold was markedly improved but not completely absent (Figure 1B).

Bottom Line: Chorioretinal folds may occur as a consequence of hypotony and can be a cause of vision loss when associated with macular involvement.In this report, the spectral domain ocular coherence tomography imaging of three patients with chorioretinal folds before and after management are presented.The cases had unique presentations and each underwent different management approaches, but the results included improved visual acuities and lessened chorioretinal folds.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA.

ABSTRACT
Chorioretinal folds may occur as a consequence of hypotony and can be a cause of vision loss when associated with macular involvement. In this report, the spectral domain ocular coherence tomography imaging of three patients with chorioretinal folds before and after management are presented. The cases had unique presentations and each underwent different management approaches, but the results included improved visual acuities and lessened chorioretinal folds.

No MeSH data available.


Related in: MedlinePlus