Ciclodiálisis postraumática tratada con láser diodo transescleral
| Autor: | Muñoz-Negrete Fj, Cerio-Ramsden Cd, Rebolleda G |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
medicine.medical_specialty
Intraocular pressure Visual acuity genetic structures business.industry medicine.medical_treatment Ultrasound biomicroscopy medicine.disease eye diseases Eye injuries Ophthalmology medicine.anatomical_structure medicine sense organs Choroid medicine.symptom business Papilledema Laser coagulation Ocular Hypotension |
| Zdroj: | Archivos de la Sociedad Española de Oftalmología. 84 |
| ISSN: | 0365-6691 |
| DOI: | 10.4321/s0365-66912009000100008 |
| Popis: | espanolCaso Clinico: Paciente varon de 28 anos, que tras traumatismo contuso en su ojo izquierdo, presenta una hipotonia ocular persistente (presion ocular 4 mmHg) acompanada de perdida de agudeza visual (0,4), edema de papila y pliegues coriorretinianos a nivel macular. El grosor foveal, medido con tomografia de coherencia optica, era de 326 micras. Mediante biomicroscopia ultrasonica se aprecia una desinsercion de iris nasal y un desprendimiento coroideo de 360°. El cuadro no cede con tratamiento conservador, por lo que 10 meses tras el traumatismo se le realiza una ciclopexia transescleral con laser diodo de contacto. Un ano tras la aplicacion del laser, la agudeza visual era 1, la presion ocular 14 mmHg y el grosor foveal 240 micras. Discusion: La ciclopexia transescleral con laser diodo puede ser una alternativa eficaz para la resolucion de ciclodialisis postraumaticas que no responden a tratamiento medico. EnglishCase report: A 28-year-old man who received a blunt trauma in his left eye, presented with persistent ocular hypotony (intraocular pressure: 4 mmHg) as well as loss of visual acuity (0.4), optic disc edema and chorioretinal folds in the macula. The foveal thickness, measured by optic coherence tomography, was 326 microns. Using ultrasound biomicroscopy, a desinsertion of the nasal iris and a 360o choroidal detachment was observed. The hypotony did not respond to conservative treatment and 10 months after the trauma he underwent a transscleral cyclopexy with contact diode laser. One year after the laser treatment the visual acuity was 1.0, the intraocular pressure 14 mmHg and the foveal thickness 240 microns. Discussion: Transscleral cyclopexy with diode laser may be an effective alternative treatment to resolve post-traumatic cyclodialysis that does not respond to medical treatment. |
| Databáze: | OpenAIRE |
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