1. Azra Purisic,
[], Bosnia and Herzegovina
GOOD VISUAL ACUITY AFTER CONTUSIO BULBI WITH RUPTURE CHORIOIDEA AND HEMORRHAGE IN THE MACULA Safet Ljesljanin, Azra Purisic, Bisenija Purisic Health Centre Plav, Montenegro Objective: Accompanying patient with a blunt eye-injury, and trying to find the best suited treatment with the least severe complications and the best functional outcome, assessing the the injury impact on final visual acuity, as well. Material: Two patients, 25 and 28 years old respectively. In both cases, a blow with a fist caused horioidea rupture with hemorrhage in the macula Methods: We conducted basic diagnostic tests: visual acuity test, tonometry, biomicroscopy, ophthalmoscopy and ultrasound of the injured eyes. In both cases, the injury caused the cornee erosion and the hyphema in 1 / 3 of the chamber; in one case the injury caused traumatic mydriasis; in both cases it ruptured the chorioidea and caused bleeding in the macula, approximately two papilla diameters wide. At admission, the visual acuity of injured eyes was a VA OD =CF at 1m distance in one case, and VA OS =CF at 5m distance, in the other. One patient prooved responsible and used Dicynoni pills therapy over 2 months, along with Uniclopheni 3x1 drops. He also received retrobulbar Sol. Kenalog injections once a week, for a month time period.. Whereas the other patient was not equaly cooperative- showed irregulary at the aftercare appointments and took only Vit. C tablets and Uniclopheni 3x1 drops for about 1 month period Results: In first case, hemorrhage in the macula was completely resorbed in about 6-7 months time. A smallest scar in the macula remained . The other, clearly visible scar left by horioidee rupture, was distanced from the macula by 2 / 3of the diameter of the papillae. The injured eye BVA=0.7 c -0.75 sph = 1.0. On the other hand - in the retina of the patient who did not adequately used the therapy, there were still remains of blood in the macula even after 9 months.Visual acuity increased to 0.4 c -1.0 sph = 0.5 eccentric. Conclusion: Chorioidea rupture with hemorrhage in the macula, in addition to very low initial visual acuity, can how ever have a good prognosis, if the rupture is not in macula proper, and, if it is sufficiently distanced from it.
Ključne reči :
Tematska oblast:
medical retina
Uvodni rad:
Da
Datum:
27.03.2012.
Br. otvaranja:
734
