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Ocular Hypotony Secondary to Spontaneously Ruptured Sclera in Choroidal Coloboma
Arch Ophthalmol. 2004;122:1549-1551.
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We describe a patient who developed unilateral optic disc edema due to ocular hypotony secondary to spontaneous rupture of the thin sclera forming the floor of a chorioretinal coloboma. B-scan ultrasonography was useful in confirming the diagnosis of a posterior filtering site. The scleral defect was successfully treated with implantation of a meridional silicone buckle.
Report of a Case
A 63-year-old white woman complained of a 3-month history of painless blurred vision in her left eye. Her medical and ocular history was unremarkable. Her best-corrected visual acuity was 20/20 OD and 20/50 OS, with intraocular pressure of 15 mm Hg OD and 4 mm Hg OS. Biomicroscopic fundus examination of the patient's left eye was remarkable for fully developed optic disc edema with gross elevation of the optic nerve head, blurred disc margins, and choroidal folds consistent with hypotony (Figure 1, A). The peripheral fundus examination showed a chorioretinal coloboma in the . . . [Full Text of this Article]
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Francesco Viola, MD;
Francesco Morescalchi, MD;
Enrico Gandolfo, MD;
Giovanni Staurenghi, MD
Correspondence: Dr Staurenghi, Department of Ophthalmology, University of Brescia, Via Tiraboschi 8, 20135 Milan, Italy (giovanni.staurenghi@unimi.it).
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