To describe a patient with unilateral hypotonic maculopathy and optic disc edema after spontaneous bulbar perforation of a full-thickness scleral defect.
An 11-year-old girl underwent scleral buckling surgery. Preoperative and postoperative evaluation included optical coherence tomography and high-resolution 3T magnetic resonance imaging.
The scleral defect was covered with Tenon capsule sheaths and a meridional silicone buckle. One year postoperatively, visual acuity and macular and optic disc morphology were completely restored.
Ocular hypotony related to a defect of the sclera forming the roof of a retinochoroidal coloboma is a rare event. Hypotony was a consequence of a defect at the level of an atypical retinochoroidal coloboma where the scleral wall was found to be absent.
Eur J Ophthalmol 2016; 26(6): e161 - e164
Article Type: CASE REPORT
AuthorsTito Fiore, Adriana Pellegrino, Marco Lupidi, Alessio Cerquaglia, Fabrizio Giansanti, Carlo Cagini
- • Accepted on 14/06/2016
- • Available online on 16/07/2016
- • Published online on 04/11/2016
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- Fiore, Tito [PubMed] [Google Scholar] 1, * Corresponding Author (firstname.lastname@example.org)
- Pellegrino, Adriana [PubMed] [Google Scholar] 1
- Lupidi, Marco [PubMed] [Google Scholar] 1
- Cerquaglia, Alessio [PubMed] [Google Scholar] 1
- Giansanti, Fabrizio [PubMed] [Google Scholar] 2
- Cagini, Carlo [PubMed] [Google Scholar] 1
Department of Biomedical and Surgical Sciences, Section of Ophthalmology, University of Perugia, S. Maria della Misericordia Hospital, Perugia - Italy
Department of Translational Surgery and Medicine, Eye Clinic, University of Florence, Florence - Italy