A case of traumatic cyclodialysis followed by ultrasound biomicroscopy.
We report a case of persistent traumatic cyclodialysis treated by goniophotocoagulation and observed by ultrasound biomicroscopy (UBM) throughout the course. A 16 year-old male was struck in his right eye by a rocket firework. After the injury, hypotony continued for 4 months and he was referred to Hiroshima University Hospital. At that time, the best visual acuity in his right eye was 0.2 and the intraocular pressure was 6 mmHg. Three hundred and sixty degrees of cyclodialysis, partial peripheral anterior synechia, hypotony maculopathy and subretinal proliferative tissue were observed. Cyclodialysis was obvious by UBM. From 4 months after the injury goniophotocoagulation was performed six times in 2 months. Intraocular pressure recovered 6 months after the injury and reattachment of cyclodialysis and disappearance of the suprachoroidal space were confirmed by UBM. UBM was useful in observing cyclodialysis throughout the course.
Kamei
Chinatsu
C
Department of Ophthalmology and Visual Science, Graduate School of Biomedical Sciences, Hiroshima University, Japan.
Kato
Tomoko
T
Tsukamoto
Hidetoshi
H
Mishima
Hiromu K
HK
D000293:Adolescent; D002924:Ciliary Body / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D005131:Eye Injuries / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D006801:Humans; D017075:Laser Coagulation; D008297:Male; D015814:Ocular Hypotension / Q000209:etiology / Q000601:surgery; D014463:Ultrasonography; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery