12-05-2008

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ISSN: 1300-0365
İndekslendiği Dizinler: Türk Tıp Dizini
Dil: Türkçe

 

CASE REPORTS


Combined Treatment By Surgical Reparation And Retinal Argon Laser Photocoagulation Of The Scleral And Chorioretinal, Perforation With A Packing Needle

Dr. H. Zeki BÜYÜKYILDIZ,a Dr. Hilmi ORb

aİstanbul Göz Hastanesi,
bSerbest, İSTANBUL



A 32-year-old woman with scleral perforation by a packing needle in her left eye was examined. A small, round shaped scleral perforation with vitreous incarceration in the wound could be seen. Eye bottom examination revealed a chorioretinal tear at location 6:30 and premacular hemorrhage in the vitreous. Uncorrected visual acuity was 0.2. The patient was operated under retrobulbar anesthesia. Cryopexy was applied around the perforation site. Due to retinal hemorrhage, a partial Argon laser photocoagulation was applied around the retinal tear. Two weeks later uncorrected visual acuity increased to 1.0. The remaining laser photocoagulation was completed 6 weeks later when retinal hemorrhage was resorbed completely. Two months later, retinal pigmentation was seen around the chorioretinal perforation. uncorrected visual acuity was 1.0. As in this case, some scleral and chorioretinal perforation cases with vitreous incarceration in the wound can be treated by the combination of surgical reparation of the perforation and Argon laser photocoagulation around the chorioretinal tear.

Keywords: Eye injuries, penetrating; light coagulation

Turkiye Klinikleri J Ophthalmol 2007, 16:285-288

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