Retina-Vitreous
2003 , Vol 11 , Num 0
SURGICAL MANAGEMENT OF SEVERE HYPOTONYINA CASE WITH VOGT-KOYANAGI-HARADA SYNDROME
Gazi Üniversitesi Tıp Fakültesi Göz Hastalıkları AD., Ankara
This is a case report of Vogt-Koyanagi-Harada syndrome causing bilateral severe hypotony and the causes of hypotony and treatment modalities are discussed. At initial examination the patient had a visual acuity of hand motion (HM) in both eyes and bilateral hypotony. Retinal detachment, shortening of axial length, choroidal thickening and prephthisis bulbi were also detected with ultrasonography. To prevent the development of phthisis bulbi, the patient underwent pars plana vitrectomy (PPV) with silicone oil tamponade. During the operation, it was found that ciliary body was ischemic and avascular. 20 days after the surgery, the intraocular pressure stabilized at 8 mmHg in both eyes, visual acuity improved bilaterally and the development of phthisis bulbi was prevented.
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