[Management of posttraumatic ocular hypotony].

Area of Science:

• Ophthalmology
• Trauma Surgery

Background:

• Posttraumatic ocular hypotony occurs after ocular contusion or open globe injury, potentially leading to severe secondary eyeball damage.
• Complications include corneal folds, ciliary body and choroidal detachment, papilledema, macular folds, and visual impairment.
• Contralateral ocular hypertension can also occur.

Purpose of the Study:

• To outline the causes, consequences, and management strategies for posttraumatic ocular hypotony.
• To emphasize the importance of identifying and treating the underlying cause of hypotony for globe preservation.

Main Methods:

• Review of posttraumatic ocular hypotony, focusing on cyclodialysis as a common cause.
• Discussion of treatment options based on the size of the cyclodialysis cleft, including cycloplegic treatment and surgical interventions.
• Exploration of alternative surgical approaches such as silicone oil endotamponade or Schlemm's canal occlusion.

Main Results:

• Globe preservation is possible if over 210° of the ciliary body remains intact.
• Smaller cyclodialysis clefts may resolve with cycloplegic treatment.
• Larger clefts necessitate surgical repair, potentially combined with other procedures.

Conclusions:

• Posttraumatic ocular hypotony is a complex condition requiring precise diagnostics.
• Causal and specific treatment is essential for managing hypotony and preventing further ocular damage.
• Timely intervention improves the chances of preserving ocular integrity and visual function.