
Ocular Hypotony Secondary to Spontaneously Ruptured Posterior Staphyloma
Arch Ophthalmol. 2003;121:122-124.
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We describe a woman with ocular hypotony secondary to a spontaneously ruptured posterior staphyloma. The staphyloma was effectively treated with a retrobulbar injection of autologous blood. A high-resolution 3-T magnetic resonance imaging (MRI) scan was useful in demonstrating retrobulbar fluid. We hypothesize that the injection of retrobulbar blood prompted the formation of a fibrotic scar that sealed the filtering site.
Report of a Case
A 39-year-old woman with high myopia was referred for further management of hypotony of the right eye that had been present for 1 month. Her ocular history was significant for high myopia treated with bilateral radial keratotomy 10-years prior to this episode and a choroidal neovascular membrane in the right eye that was treated with photocoagulation 4 years prior to this episode.
The patient's current episode involved a history of acute loss of peripheral vision in the right eye while straining at the stool. She reported no pain with this . . . [Full Text of this Article] Comment
Corresponding author and reprints: Michael A. Mahr, MD, Department of Ophthalmology, Mayo Clinic, Rochester, MN 55905 (e-mail: mahr.michael@mayo.edu).
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