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MACULAR DISEASES

Hypotonic Maculopathy

Clinical Case 01

Hypotonic Maculopathy - Clinical Case 01

Fundus photograph of hypotonic eye, 2 months after traumatic injury. Note the chorioretinal folds in the posterior pole, papilloedema and vascular tortuosity. Visual acuity: 20/100 LE

Hypotonic Maculopathy - Clinical Case 01

Fundus photograph after treatment, in same case

Evaluations

1st evaluation

27 0

08 06 2011 - Anterior Segment Photo

Anterior segment photograph in a 36-year-old male patient, 2 months after traumatic injury. The intraocular lenses is supported in front of the anterior capsule.Visual acuity: 20/100 LE

21 06 2011 - Autofluorescence

Autofluorescence photograph showing vascular tortuosity

21 06 2011 - Colour Retinography

Fundus photograph of hypotonic eye, 2 months after traumatic injury. Note the chorioretinal folds in the posterior pole, papilloedema and vascular tortuosity. Visual acuity: 20/100 LE

Ultra-widefield photograph (magnification) of the posterior pole. Note the chorioretinal folds, papilloedema and vascular tortuosity

Red separation view

Green separation view

21 06 2011 - Fluorescein Angiography

Fluorescein angiogram at early phase. Note the tortuosity of the vessels

Fluorescein angiogram at mid-phase showing leakage at the optic disc

21 06 2011 - Infrared

Infrared photograph showing chorioretinal folds

21 06 2011 - Microperimetry

21 06 2011 - OCT B-Scan (Longitudinal)

OCT vertical line-scan showing retinal pigment epithelium folds resulting from hypotony

OCT line-scan showing retinal folds near the optic disc

OCT line-scan showing papilledema

21 06 2011 - Red-free

Red-free photograph showing chorioretinal folds

Red-free photograph of the optic disc showing papilledema

21 06 2011 - Tonometry

2nd evaluation

5 0

14 07 2011 - Colour Retinography

Ultra-widefield photograph showing the implant of dexamethasone (bottom left)

1 month after intravitreal injection of dexamethasone implant. Visual acuity: 20/60 RE

27 07 2011 - OCT B-Scan (Longitudinal)

OCT line-scan one month after intravitreal injection of dexamethasone implant. The eye will recovered from hypotony

27 07 2011 - Red-free

1 month after intravitreal injection of dexamethasone implant. Visual acuity: 20/60 RE

3rd evaluation

10 0

12 09 2011 - Autofluorescence

3 months after intravitreal injection of dexamethasone implant

12 09 2011 - Colour Retinography

3 months after intravitreal injection of dexamethasone implant

Ultra-widefield photograph (magnification) 3 months after dexamethasone intravitreal implant

Green free view

12 09 2011 - Echography

A-line scan echogram showing ocular hypotony, 3 months after intravitreal injection of dexamethasone implant

12 09 2011 - OCT B-Scan (Longitudinal)

Three months after dexamethasone intravitreal implant. The eye will recovered from hypotony

12 09 2011 - Red-free

3 months after intravitreal injection of dexamethasone implant

4th evaluation

11 0

24 10 2011 - Anterior Segment Photo

Anterior segment photograph showing the intraocular lenses supported in front of the anterior capsule

24 10 2011 - Autofluorescence

4 months after dexamethasone intravitreal implant

24 10 2011 - Colour Retinography

Fundus photograph, 4 months after dexamethasone intravitreal implant showing less retinal folding

Ultra-widefield photograph (magnification)

24 10 2011 - Infrared

Infrared photograph 4 months after dexamethasone intravitreal implant

24 10 2011 - OCT B-Scan (Longitudinal)

OCT line-scan four months after dexamethasone intravitreal implant showing recovery from hypotony

24 10 2011 - Red-free

24 10 2011 - Tonometry

5th evaluation

13 0

06 01 2012 - Anterior Segment Photo

06 01 2012 - Autofluorescence

06 01 2012 - Colour Retinography

Ultra-widefield photograph showing retinal tears at periphery

Ultra-widefield photograph showing retinal tears at periphery

06 01 2012 - Infrared

06 01 2012 - OCT B-Scan (Longitudinal)

06 01 2012 - Red-free

06 01 2012 - Tonometry

6th evaluation - postoperative

7 0

17 01 2012 - Anterior Segment Photo

Anterior segment photograph, 1 day after epiretinal membrane removal

17 01 2012 - Autofluorescence

Autofluorescence photograph 1 day after surgery showing hypofluorescent granules of triamcinolone

17 01 2012 - Colour Retinography

Fundus photograph, 1 day after surgery showing white granules of triamcinolone

17 01 2012 - Infrared

17 01 2012 - OCT B-Scan (Longitudinal)

17 01 2012 - Red-free

7th evaluation

7 0

20 01 2012 - Anterior Segment Photo

20 01 2012 - Autofluorescence

20 01 2012 - Colour Retinography

2 weeks after surgery showing laser spots around the retinal tear

Fundus photograph 10 days after retinal surgery showing some granules of triamcinolone

20 01 2012 - OCT B-Scan (Longitudinal)

4 days after the epiretinal membrane removal

4 days after the epiretinal membrane removal

20 01 2012 - Red-free

8th evaluation

12 0

08 06 2012 - Anterior Segment Photo

Anterior segment photograph, 5 months after surgery. Visual acuity: 20/20 LE

08 06 2012 - Autofluorescence

5 months after surgery. Visual acuity: 20/20 LE

08 06 2012 - Colour Retinography

5 months after surgery. Visual acuity: 20/20 LE

08 06 2012 - Infrared

08 06 2012 - OCT B-Scan (Longitudinal)

5 months after surgery. Visual acuity: 20/20 LE

08 06 2012 - Red-free

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