[Hypotonous maculopathy following ocular blunt trauma]

ABSTRACT

To report a case of hypotonous maculopathy after blunt trauma and its treatment. A 34-year-old woman presented with decreased visual acuity in her left eye following blunt trauma. Right eye examination was unremarkable, but visual acuity of left eye was counting fingers. Slit lamp biomicroscopy of the left eye was within normal limits, but on funduscopy, papillomacular chorioretinal wrinkling was present. Intraocular pressure [IOP] of left eye was 4 mmHg. On gonioscopy, a cyclodialysis cleft was seen from 11 to 1 o'clock. Argon laser therapy to cyclodialysis cleft was performed. Two months later, best spectacle corrected visual acuity of left eye was 20/20 and chorioretinal wrinklings disappeared and IOP was 15 mmHg with timolol 0.5% twice daily. Blunt ocular trauma may result in cyclodialysis cleft which can lead to hypotony and maculopathy, consequently. Argon laser photocoagulation to the cyclodialysis cleft might be an effective way to relieve hypotony and improve vision