title: [Three cases of hypotonic maculopathy due to blunt trauma, treated by 360-degree scleral buckling].
abstract: BACKGROUND
  In hypotonic maculopathy with a shallow anterior chamber, it is difficult to delineate the extent of cyclodialysis. Reoperations are often reported, and a method of management for hypotonic maculopathy is not yet established.
  
  
  METHODS
  We treated three patients with hypotonic maculopathy due to blunt trauma. Case 1 did not improve after two cryoablations, two cyclopexies, and a laser photocoagulation treatment. Cases 2 and 3 did not improve after a single laser photocoagulation treatment. All cases exhibited retinal breaks, and underwent 360-degree scleral buckling.
  
  
  RESULTS
  In all cases, intraocular pressure was normalized soon after the surgery. We found that ultrasound biomicroscopy (UBM) was helpful in clarifying cyclodialysis, and that optical coherence tomography(OCT) was useful to observe morphologic changes of the macula in detail.
  
  
  CONCLUSIONS
  This procedure is considered to be useful in the treatment of hypotonic maculopathy.
authors.affiliation: Department of Ophthalmology and Visual Science, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8510, Japan.
authors.forename: Asae
authors.initials: A
authors.lastname: Inukai
authors.forename: Sumiyoshi
authors.initials: S
authors.lastname: Tanaka
authors.forename: Akira
authors.initials: A
authors.lastname: Hirose
authors.forename: Sakaki
authors.initials: S
authors.lastname: Tomimitsu
authors.forename: Manabu
authors.initials: M
authors.lastname: Mochizuki
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007429:Intraocular Pressure; D008266:Macula Lutea / Q000293:injuries* / Q000601:surgery*; D008297:Male; D012164:Retinal Diseases / Q000209:etiology / Q000601:surgery*; D012591:Scleral Buckling / Q000379:methods*; D014949:Wounds, Nonpenetrating / Q000150:complications*