A Case of Traumatic Hypotony Maculopathy Treated by Intravitreal Air Injection

Byeong Jun Park; Hyun Jin Shin; Hyung Chan Kim

doi:10.3341/jkos.2013.54.12.1935

Journal List > J Korean Ophthalmol Soc > v.54(12) > 1009573

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Park, Shin, and Kim: A Case of Traumatic Hypotony Maculopathy Treated by Intravitreal Air Injection

Original Article

J Korean Ophthalmol Soc 2013;54(12):1935-1938.

Published online: 7 September 2013

DOI: https://doi.org/10.3341/jkos.2013.54.12.1935

A Case of Traumatic Hypotony Maculopathy Treated by Intravitreal Air Injection

Byeong Jun Park, MD, Hyun Jin Shin, MD, Hyung Chan Kim, MD, PhD

Department of Ophthalmology, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea

Address reprint requests to Hyung Chan Kim, MD, PhD Department of Ophthalmology, Konkuk University Medical Center, #120-1 Neungdong-ro, Gwangjin-gu, Seoul 143-729, Korea, Tel: 82-2-2030-8180, Fax: 82-2-2030-5273, E-mail: eyekim@kuh.ac.kr

Received 16 May 20137 August 2013 Accepted 9 November 2013

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 traumatic hypotony maculopathy treated by intravitreal air injection.

Case summary

A 20-year-old female presented with decreased visual acuity in the left eye 2 days after trauma. Best corrected visual acuity (BCVA) was 0.5 and the intraocular pressure (IOP) was 5 mm Hg. Indirect ophthalmoscopy revealed chorioretinal folds in the macular area. Gonioscopy showed angle recession from 4 to 7 o’clock. Initially, pressure patching and conservative management were performed on the left eye 10 days after examination. However, deterioration of the chorioretinal fold was observed without any change in IOP. Finally, intravitreal air injection (0.5 cc) was performed 10 days after the start of conservative treatments. Following air injection, the normalization of IOP and gradual reduction of chorioretinal fold was observed. BCVA improved to 1.0 and IOP was maintained between 12 and 14 mm Hg for 24 months after the air injection.

Conclusions

Intravitreal air injection may safely and effectively treat traumatic hypotony maculopathy.

Keywords: Hypotony maculopathy, Intravitreal air injection

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Figure 1.

Preoperative fundoscopy and spectral domain optical coherence tomography (SD-OCT) in the three dimensional image show chorioretinal folds and retinal thickening at macula area.

Figure 2.

After intravitreal air injection, fundoscopy and spectral domain optical coherence tomography (SD-OCT) in the three dimensional image show that chorioretinal folds are resolved.

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