Treatment of Hypotony Maculopathy Caused by Silicone Oil Removal With Gas Tamponade

Jae Ryun Kim; In Tae Kim

doi:10.3341/jkos.2010.51.7.1028

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Kim and Kim: Treatment of Hypotony Maculopathy Caused by Silicone Oil Removal With Gas Tamponade

Original Article

J Korean Ophthalmol Soc 2010;51(7):1028-1031.

Published online: 31 August 2010

DOI: https://doi.org/10.3341/jkos.2010.51.7.1028

Treatment of Hypotony Maculopathy Caused by Silicone Oil Removal With Gas Tamponade

Jae Ryun Kim, MD, In Tae Kim, MD

Department of Ophthalmology and Visual Science, St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea

Address reprint requests to In Tae Kim, MD, Department of Ophthalmology, St. Mary's Hospital, The Catholic University of Korea School of Medicine #62 Yeouido-dong, Yeongdeungpo-gu, Seoul 150-713, Korea Tel: 82-2-3779-1243, Fax: 82-2-761-6869, E-mail: kimintae@catholic.ac.kr

Received 19 February 2010 Accepted 25 May 2010

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

To report a case of hypotony maculopathy after silicon oil removal treated by intravitreal gas injection.

Case summary

A 35-year-old women presented with decreased visual acuity of the right eye for two weeks. Retinal detach-ment with peripheral retinal tears was observed in the patient's right eye. Pars plana vitrectomy including lensectomy, endolaser photo-coagulation and silicone oil injection was performed. Silicone oil removal was performed to improve patient's visual acuity two months after the operation. After the silicone oil removal, visual acuity was decreased to hand motion, and intraocular pressure was decreased below 3 mmHg while observing chorioretinal folding in fundus for two months. Intraviteal C3F8 gas injections were performed three times in the two months after silicone oil removal. After three gas injections, gradual reduction of chorioretinal folding was observed. Visual acuity was improved to 0.2 and IOP was maintained at 8 to 10 mmHg for 18 months after the last gas injection.

Conclusions

Intravitreal gas injection offers a safe and effective method for treating hypotony retinopathy after silicon oil removal.

Keywords: Silione oil removal, Hypotony macularpathy, Intravitreal gas injection

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Figure 1.

Fundus photograph shows signs of hypotony after silicone oil removal: chorioretinal folds and vascular tortuosity are observed.

Figure 3.

Fundus photograph shows loss of chorioretinal folds and vascular tortuosity after intravitreal C3F8 gas injection.

Figure 2.

OCT image shows severe chorioretinal folds after silicone oil removal.

Figure 4.

OCT image shows marked decrease in chorioretinal folds after intravitreal C₃ F₈ gas injection.

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