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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

The horizontal line scan from the SD-OCT of the right eye of the patient demonstrates subtle chorioretinal folds (A). The vertical line scan more clearly demonstrates the chorioretinal folds (B). On both the horizontal and vertical line scans taken after treatment, there is a resolution of the folds (C and D).Abbreviation: SD-OCT, spectral domain ocular coherence tomography.
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f2-imcrj-8-199: The horizontal line scan from the SD-OCT of the right eye of the patient demonstrates subtle chorioretinal folds (A). The vertical line scan more clearly demonstrates the chorioretinal folds (B). On both the horizontal and vertical line scans taken after treatment, there is a resolution of the folds (C and D).Abbreviation: SD-OCT, spectral domain ocular coherence tomography.

Mentions: A 74-year-old Hispanic woman presented after sustaining an accidental kick in the head from an infant resulting in a ruptured globe and extruded intraocular lens (IOL) in the right eye. The BCVA was light perception in the right eye and 20/25 in the left eye, and the IOP was 5 mmHg and 20 mmHg in each eye, respectively. The patient underwent surgical repair for the 3-clock-hour superior scleral rupture from the site of prior cataract surgery and attained BCVA of 20/200 with an IOP of 17 mmHg at 2 weeks postoperatively. A 23-gauge PPV was performed for persistent vitreous hemorrhage, and the scleral wound was revised at that time. By postoperative month 1, her hypotony had resolved with an IOP of 30 mmHg and she underwent secondary IOL placement with scleral fixated IOL and 25-gauge PPV. Over the next 3 months, the patient had sustained hypotony and chorioretinal folds by SD-OCT and a BCVA of 20/50 (Figure 2A and 2B). She again underwent revision of the initial scleral wound with resolution of the hypotony and by 1 month postoperative, her vision returned to 20/30, her IOP normalized to 16 mmHg, and her chorioretinal folds by SD-OCT resolved (Figure 2C and 2D).


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)

The horizontal line scan from the SD-OCT of the right eye of the patient demonstrates subtle chorioretinal folds (A). The vertical line scan more clearly demonstrates the chorioretinal folds (B). On both the horizontal and vertical line scans taken after treatment, there is a resolution of the folds (C and D).Abbreviation: SD-OCT, spectral domain ocular coherence tomography.
© Copyright Policy
Related In: Results  -  Collection

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getmorefigures.php?uid=PMC4581779&req=5

f2-imcrj-8-199: The horizontal line scan from the SD-OCT of the right eye of the patient demonstrates subtle chorioretinal folds (A). The vertical line scan more clearly demonstrates the chorioretinal folds (B). On both the horizontal and vertical line scans taken after treatment, there is a resolution of the folds (C and D).Abbreviation: SD-OCT, spectral domain ocular coherence tomography.
Mentions: A 74-year-old Hispanic woman presented after sustaining an accidental kick in the head from an infant resulting in a ruptured globe and extruded intraocular lens (IOL) in the right eye. The BCVA was light perception in the right eye and 20/25 in the left eye, and the IOP was 5 mmHg and 20 mmHg in each eye, respectively. The patient underwent surgical repair for the 3-clock-hour superior scleral rupture from the site of prior cataract surgery and attained BCVA of 20/200 with an IOP of 17 mmHg at 2 weeks postoperatively. A 23-gauge PPV was performed for persistent vitreous hemorrhage, and the scleral wound was revised at that time. By postoperative month 1, her hypotony had resolved with an IOP of 30 mmHg and she underwent secondary IOL placement with scleral fixated IOL and 25-gauge PPV. Over the next 3 months, the patient had sustained hypotony and chorioretinal folds by SD-OCT and a BCVA of 20/50 (Figure 2A and 2B). She again underwent revision of the initial scleral wound with resolution of the hypotony and by 1 month postoperative, her vision returned to 20/30, her IOP normalized to 16 mmHg, and her chorioretinal folds by SD-OCT resolved (Figure 2C and 2D).

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