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Transscleral Cyclopexy Using Partial-Thickness Scleral Flap for Repairing Cyclodialysis Cleft: a Case Report
¹ÚÇѼ®, Ãֽſµ, ÀåÇص¿, ¾ÈÀçÈ«,
¼Ò¼Ó »ó¼¼Á¤º¸
¹ÚÇѼ® ( Park Han-Seok )
¾ÆÁÖ´ëÇб³ ÀÇ°ú´ëÇÐ ¾È°úÇб³½Ç
Ãֽſµ ( Choi Shin-Young )
¾ÆÁÖ´ëÇб³ ÀÇ°ú´ëÇÐ ¾È°úÇб³½Ç
ÀåÇص¿ ( Jang Hae-Dong )
¾ÆÁÖ´ëÇб³ ÀÇ°ú´ëÇÐ ¾È°úÇб³½Ç
¾ÈÀçÈ« ( Ahn Jae-Hong )
¾ÆÁÖ´ëÇб³ ÀÇ°ú´ëÇÐ ¾È°úÇб³½Ç
Abstract
¸ñÀû: º¸Á¸Àû ¾à¹° Ä¡·á¿Í ·¹ÀÌÀú±¤ÀÀ°í¼ú¿¡ ¹ÝÀÀÇÏÁö ¾Ê¾Ò´ø ¿Ü»ó¼¶¸ðüÇظ®·Î ÀÎÇÏ¿© Àú¾È¾Ð Ȳ¹Ýº´ÁõÀÌ ¹ß»ýÇÑ È¯ÀÚ¿¡¼ ºÎºÐ °ø¸·ÆíÀ» ÀÌ¿ëÇÏ¿© °æ°ø¸·¼¶¸ðüÀ¯Âø¼úÀ» ½ÃÇàÇÏ¿© ¼º°øÀûÀ¸·Î Ä¡·áµÈ 1¿¹¸¦ º¸°íÇÏ°íÀÚ ÇÑ´Ù.
Áõ·Ê¿ä¾à: 44¼¼ ³²ÀÚ°¡ Á¾ȿ¡ µÐ»óÀ» ÀÔÀº ÈÄ ¹ß»ýÇÑ ½Ã·ÂÀúÇϸ¦ ÁÖ¼Ò·Î ³»¿øÇÏ¿´´Ù. ½Ã·ÂÀº ¾ÈÀü¼öÁö, ¾È¾ÐÀº 4 mmHg, Àü¹æ°¢°æ°Ë»ç¿¡¼ 3½Ã¿¡¼ 6½Ã±îÁö À̾îÁö´Â ¼¶¸ðüÇظ®°¡ °üÂûµÇ¾ú°í, ¾ÈÀú°Ë»ç¿¡¼ ¸Æ¶ô¸Á¸·ÁÖ¸§ÀÌ °üÂûµÇ¾ú´Ù. º¸Á¸Àû ¾à¹° Ä¡·á¿Í ·¹ÀÌÀú±¤ÀÀ°í¼ú¿¡ ¹ÝÀÀÇÏÁö ¾Ê¾Æ Àü¹æ°¢°æÀ¸·Î È®ÀÎÇÏ¸ç ºÎºÐ °ø¸·ÆíÀ» ÅëÇÑ °æ°ø¸·¼¶¸ðüÀ¯Âø¼úÀ» ½ÃÇàÇÏ¿´´Ù. ¼ö¼ú 4°³¿ù ÈÄ ½Ã·ÂÀº 0.8, ¾È¾ÐÀº 18 mmHg·Î ¾ÈÁ¤ÀûÀ¸·Î À¯ÁöµÇ¾úÀ¸¸ç, ¾ÈÀú°Ë»ç¿¡¼ ¸Æ¶ô¸Á¸·ÁÖ¸§ÀÌ ¼Ò½ÇµÇ°í µ¿°øÀÇ ¸ð¾çÀº Àß À¯ÁöµÇ¾ú´Ù.
°á·Ð: ºÎºÐ °ø¸·ÆíÀ» ÅëÇØ ½ÃÇàÇÑ °æ°ø¸·¼¶¸ðüÀ¯Âø¼úÀº ¼¶¸ðüÇظ®·Î ÀÎÇÑ Àú¾È¾Ð Ȳ¹Ýº´ÁõÀÇ Ä¡·á¿¡ ¾ÈÀüÇÏ°í È¿°úÀûÀÌ¸ç µ¿°ø º¯ÇüÀ» ÃÖ¼ÒÈÇÒ ¼ö ÀÖ´Â ¹æ¹ýÀÌ´Ù.
Purpose: To report a case of a cyclodialysis cleft that was successfully managed with gonioscopically guided transscleral cyclopexy using partial-thickness scleral flap.
Case summary: A 44-year-old man complaining of blurred vision in the left eye after blunt trauma was referred to our hospital. The intraocular pressure (IOP) was 4 mmHg and the visual acuity was counting finger. Gonioscopy examination revealed cyclodialysis cleft from 3 to 6 o¡¯clock and fundus examination revealed macular folds. After the failure of conservative medical therapy and laser photocoagulation, gonioscopically guided transscleral cyclopexy using partial-thickness scleral flap was performed. Four months later, the IOP was 18 mmHg, the visual acuity was 0.8, and fundus examination showed the disappearance of the macular folds.
Conclusions: Transscleral cyclopexy using partial-thickness scleral flap is a safe and effective method to treat hypotony maculopathy due to cyclodialysis and to minimize pupil distortion.
Å°¿öµå
Cyclodialysis; Cyclopexy; Gonioscopy; Hypotonic maculopathy; Traumatic hypotony
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