Dr. K.S.KUMAR

Abstract

Aim To describe a 12 year old boy who had persistent post blunt trauma hypotony that eventually responded to a belt buckle

Materials and methods a 12 year old boy with tennis ball injury OD that was unresponsive to intensive topical and subtenons steroids and had no discernible cyclodialysis cleft even on UBM with disc edema and hypotonic maculopathy ultimately responded very well to belt buckle surgery thus obviating the need for more invasive VR surgery will be highlightedThe patient subsequently underwent successful cataract surgery for traumatic cataract and is maintaining good vision and IOP over a 20 year followup

Conclusions a belt buckle placed anteriorly just posterior to insertion of recti is a useful GO-TO surgery in desperate cases of recalcitrant hypotony that may work by closure of undetectable clefts or altering ciliary anatomy.This should be part of our surgical armoury and comes in very handy in such cases

Full Text