A Case of Cyclodialysis Cleft with Hypotony during Ahmed Valve Implantation Surgery.
10.3341/jkos.2015.56.2.300
- Author:
Hyun Yeoun KIM
1
;
Jae Woo KIM
Author Information
1. Department of Ophthalmology, Catholic University of Daegu School of Medicine, Daegu, Korea. jwkim@cu.ac.kr
- Publication Type:Case Report
- Keywords:
Cyclodialysis cleft;
Cycloplegics;
Glaucoma;
Hypotony;
Steroid
- MeSH:
Anterior Chamber;
Choroid;
Glaucoma;
Humans;
Hyphema;
Intraocular Pressure;
Lens Implantation, Intraocular;
Male;
Middle Aged;
Mydriatics;
Phacoemulsification;
Retinal Detachment;
Steroids;
Tomography, Optical Coherence;
Vitrectomy
- From:Journal of the Korean Ophthalmological Society
2015;56(2):300-303
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To report a case of cyclodialysis cleft with hypotony during Ahmed valve implantation. CASE SUMMARY: A 47-year-old male was referred for uncontrolled intraocular pressure (IOP) in the right eye. The patient had a history of ocular trauma and traumatic hyphema. He underwent pars plana vitrectomy, phacoemulsification and intraocular lens implantation 1 month prior due to rhegmatogenous retinal detachment. At the end of the Ahmed valve implantation surgery, the eye was hypotonic despite a deep anterior chamber. The hypotony continued and choroidal effusion developed. Anterior segment optical coherence tomography and gonioscopic examinations revealed small cyclodialysis clefts. After medical treatment with cycloplegics and steroids, choroidal effusion disappeared and IOP was normalized. CONCLUSIONS: Patients with previous ocular trauma or surgery could be prone to developing cyclodialysis cleft with hypotony. Inadvertent cyclodialysis cleft with hypotony can be treated with cycloplegics and steroids.
