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  • Title: Hypotonic maculopathy secondary to scleral defect in atypical retinochoroidal coloboma.
    Author: Fiore T, Pellegrino A, Lupidi M, Cerquaglia A, Giansanti F, Cagini C.
    Journal: Eur J Ophthalmol; 2016 Nov 04; 26(6):e161-e164. PubMed ID: 27445074.
    Abstract:
    PURPOSE: To describe a patient with unilateral hypotonic maculopathy and optic disc edema after spontaneous bulbar perforation of a full-thickness scleral defect. METHODS: An 11-year-old girl underwent scleral buckling surgery. Preoperative and postoperative evaluation included optical coherence tomography and high-resolution 3T magnetic resonance imaging. RESULTS: The scleral defect was covered with Tenon capsule sheaths and a meridional silicone buckle. One year postoperatively, visual acuity and macular and optic disc morphology were completely restored. CONCLUSIONS: Ocular hypotony related to a defect of the sclera forming the roof of a retinochoroidal coloboma is a rare event. Hypotony was a consequence of a defect at the level of an atypical retinochoroidal coloboma where the scleral wall was found to be absent.
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