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eKonferencije.com: Good visual acuity after contusio bulbi with rupture horioidee and hemorrhage in the macula

Good visual acuity after contusio bulbi with rupture horioidee and hemorrhage in the macula

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.

Кључне речи :

Тематска област: medical retina

Уводни рад: Да

Датум: 27.03.2012.

Бр. отварања: 734

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