scholarly journals Diagnostic and Therapeutic Approach in a Case of Severe Post-Traumatic Hyphema with Subtotal Iridodialysis

2017 ◽  
Vol 8 (3) ◽  
pp. 496-502 ◽  
Author(s):  
Filippo Romanazzi ◽  
Anna Morano ◽  
Antonio Caccavale
Keyword(s):  
Intraocular Pressure ◽  
Blunt Trauma ◽  
Vitreous Hemorrhage ◽  
Ultrasound Biomicroscopy ◽  
Single Step ◽  
Moderate Pain ◽  
Light Perception ◽  
Traumatic Cataract ◽  
Scleral Fixation ◽  
Post Traumatic

Purpose: To report our diagnostic ultrasound-based approach and surgical strategy in a case of severe blunt trauma with complete hyphema, 270° iris disinsertion, and traumatic subluxated cataract. Case Report: A 70-year-old male was referred to our hospital for a blunt trauma in his right eye. A complete examination revealed visual acuity consisting in light perception, a complete hyphema, and an intraocular pressure of 45 mm Hg with moderate pain. Our diagnostic approached was ultrasound based with B-scan examination showing some vitreous hemorrhage and ultrasound biomicroscopy showing a large iris disinsertion of 270° with the iris entirely dislocated in the inferior sector of the anterior chamber. The patient was hospitalized and a systemic and topical treatment was started to lower intraocular pressure. Our surgery consisted in a single-step approach with removal of traumatic cataract with scleral fixation of an intraocular lens and iridoplasty. Conclusion: In our patient, the single-step surgery, supported by anterior and posterior ultrasound imaging, achieved a satisfactory anatomical and functional outcome.

scholarly journals Asymptomatic chronic hypotony due to subclinical choroidal effusion after blunt trauma

2020 ◽  
Vol 17 (2) ◽  
pp. 203-208
Author(s):  
John Mark Sim De Leon ◽  
Ronald Steven Medalle
Keyword(s):  
Visual Acuity ◽  
Intraocular Pressure ◽  
Case Report ◽  
Blunt Trauma ◽  
Ultrasound Biomicroscopy ◽  
Scleral Flap ◽  
Hypotony Maculopathy ◽  
Post Traumatic ◽  
Choroidal Effusion ◽  
Cyclodialysis Cleft

Objective: To present a case report of asymptomatic post-traumatic chronic hypotony in which the cause was undetected until phacoemulsification. Methodology: Case report. Results: A 55-year-old female’s left eye suffered blunt trauma causing hyphema and iritis, which were successfully managed; however, up to a year after, the intraocular pressure (IOP) ranged from 3 to 5 mmHg and the anterior chamber remained very shallow (Van Herick grade 4) with the lens–iris diaphragm pushed anteriorly with difficulty assessing the angles for recession or clefts . Visual acuity was initially 20/20 upon resolution of the hyphema but worsened to 20/40 a year after, presumably due to a developing cataract. Periodic dilated fundus examinations revealed no hypotony maculopathy or choroidal effusions. Prior to phacoemulsification, ultrasound biomicroscopy (UBM) revealed 360 degrees of mild peripheral choroidal effusions. During phacoemulsification, after intraocular lens insertion, direct gonioscopy revealed a supero-nasal cyclodialysis cleft (2 clock hours) and this was repaired intraoperatively with direct cyclopexy through a partial thickness scleral flap. Postoperatively, the vision improved to 20/20 without correction and the IOP normalized to 16 to 18 mmHg. Conclusion: Chronic hypotony post-trauma may be asymptomatic and the cause may not be clinically evident and may be detected by UBM (choroidal effusion). In our case, the proximate aetiology (cyclodialysis cleft) of the effusion was only observed intraoperatively after phacoemulsification for which cyclopexy was performed which increased the IOP to physiologic levels.

scholarly journals Optimising the surgical outcome in a case of post-traumatic cataract using ultrasound biomicroscopy

2017 ◽  
pp. bcr-2017-220579
Author(s):  
Manthan Hasmukhbhai Chaniyara ◽  
Amar Pujari ◽  
Neelima Aron ◽  
Namrata Sharma
Keyword(s):  
Surgical Outcome ◽  
Ultrasound Biomicroscopy ◽  
Traumatic Cataract ◽  
Post Traumatic

Ultrasound Biomicroscopy after Vitrectomy in Eyes with Normal Intraocular Pressure and in Eyes with Chronic Hypotony

2008 ◽  
Vol 18 (4) ◽  
pp. 614-618 ◽  
Author(s):  
M.B. Nehemy ◽  
M. Zisman ◽  
F.A. Marigo ◽  
P.G. Nehemy ◽  
A.P. Schachat
Keyword(s):  
Intraocular Pressure ◽  
Ultrasound Biomicroscopy

scholarly journals Ocular Decompression Retinopathy : A Case Series

2018 ◽  
Vol 9 (2) ◽  
pp. 194-198 ◽  
Author(s):  
Kirti Singh ◽  
Mainak Bhattacharyya ◽  
Keerti Wali ◽  
Kartik Rana ◽  
Divya Jain
Keyword(s):  
Case Series ◽  
Cataract Extraction ◽  
Good Prognosis ◽  
Posterior Pole ◽  
Congenital Glaucoma ◽  
Traumatic Cataract ◽  
Retinal Hemorrhages ◽  
Advanced Glaucoma ◽  
Post Traumatic ◽  
Decompression Retinopathy

Introduction: Ocular decompression retinopathy (ODR) is a relatively rare entity with variable prognosis depending on extent and pre-existing condition. This article describes profile of two cases with a brief review of the condition.Case report: Case 1 highlights extensive choroidal detachment with subhyaloid haemorrhage and multiple intra-retinal hemorrhages in the posterior pole seen on first post-operative day in a 6 year old child with congenital glaucoma who underwent Trab & Trab. Case 2 describes multiple intraretinal hemorrhages seen at posterior pole on second post-operative day in a 24 year old pregnant lady with post traumatic cataract and secondary glaucoma who underwent cataract extraction with Cionni ring. Both patients had complete resolution of the haemorrhages with topical steroids.Conclusion: Ocular decompression retinopathy is mostly seen after operations on cases with advanced glaucoma and those with vulnerable blood flow fluidics. Adequate precautions to prevent this entity should be adopted during surgery and management of the manifest entity is conservative with good prognosis.

The effectiveness of descemethogoniopuncture depending on the timing of its implementation after microinvasive non-penetrating deep sclerectomy in patients with glaucoma

2021 ◽  
pp. 79-82
Author(s):  
E.L. Sorokin ◽  
◽  
N.V. Postupaeva ◽  
◽  
Keyword(s):  
Intraocular Pressure ◽  
Antihypertensive Effect ◽  
Primary Open Angle Glaucoma ◽  
Open Angle Glaucoma ◽  
Hypotensive Effect ◽  
Ultrasound Biomicroscopy ◽  
Deep Sclerectomy ◽  
Group 2 ◽  
Group 1

Purpose. Evaluation of the efficacy of descemethogoniopuncture (DGP) at various times after microinvasive non-penetrating deep sclerectomy (MNPDS) in patients with glaucoma. Material and methods. The analysis of the results of DGP in 64 eyes of patients with primary open-angle glaucoma after previously performed MNPDS. According to the timing of DGP after MNPDS, the patients were divided into 3 groups. In the 1st group BPH was performed after 1–2 months (22 eyes), the 2nd group – after 3–4 months (21 eyes), the 3rd group after 5–6 months (21 eyes). The follow-up period was 1 year. Results. The level of intraocular pressure before DGP averaged 15.1±0.6 mm Hg in group 1, 17.5±0.9 mm Hg in group 2, and group – 18.6±0.7 mm Hg. After DGP, 13.1±0.4 mm Hg, 14.6±0.7 mm Hg, 16.1±0.5 mm Hg respectively. According to ultrasound biomicroscopy, the highest and extended intrascleral cavities and tunnels, as well as a thin loose trabeculodescemet membrane (TDM), were observed in the eyes of the 1st group. With an increase in the time after MNPDS, there was a compaction of TDM, a decrease in the height and length of the intrascleral cavity and tunnels. 12 months after DGP, the most pronounced antihypertensive effect without antihypertensive therapy occurred in group 1 – 55% of cases compared with groups 2 and 3 (33% and 14% respectively). Conclusion. The greatest efficiency was shown by performing DGP within 1–2 months after MNPDS, which is associated with the minimum development of proliferative processes in the intrascleral outflow tract in the early stages after this operation. Key words: descemethogoniopuncture, microinvasive non-penetrating deep sclerectomy, intraocular pressure, hypotensive effect, glaucoma.

One-step management of post-traumatic triple dialysis using two rings

2018 ◽  
Vol 29 (5) ◽  
pp. NP9-NP13 ◽  
Author(s):  
Shikha Gupta ◽  
Harathy Selvan ◽  
Jyoti Shakrawal ◽  
Viney Gupta
Keyword(s):  
Blunt Trauma ◽  
Intraocular Lens ◽  
Visual Recovery ◽  
Capsular Tension Ring ◽  
One Step ◽  
Post Traumatic

Purpose: To report a case that presented with post blunt trauma cataract, zonular dialysis, cyclodialysis and iridodialysis and its successful single-sitting management. Methods: After lens aspiration, a capsular tension ring and multipiece intraocular lens were placed in the bag to support the zonules, a single eyelet Cionni ring was fixed in the sulcus to provide endocyclotamponade, and iridodialysis repair was done using the ‘stroke and dock technique’. Result: Successful centration of the intraocular lens, closure of the cleft and apposition of the iris root to its base were achieved at the end of the surgery. Conclusion: A single-sitting surgery correcting all the three dialysis can curtail the burden of repeated surgeries and their complications, providing early visual recovery and cost-effectivity.

Sign in / Sign up

Export Citation Format

Share Document