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. Cases 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. Conclusion This procedure is considered to be useful in the treatment of hypotonic maculopathy.