A Case of Cyclodialysis Cleft with Hypotony during Ahmed Valve Implantation Surgery
Journal of the Korean Ophthalmological Society
;
: 300-303, 2015.
Article
in Korean
| WPRIM
| ID: wpr-190413
ABSTRACT
PURPOSE:
To report a case of cyclodialysis cleft with hypotony during Ahmed valve implantation. CASESUMMARY:
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Steroids
/
Vitrectomy
/
Retinal Detachment
/
Hyphema
/
Glaucoma
/
Choroid
/
Phacoemulsification
/
Lens Implantation, Intraocular
/
Tomography, Optical Coherence
/
Intraocular Pressure
Limits:
Humans
/
Male
Language:
Korean
Journal:
Journal of the Korean Ophthalmological Society
Year:
2015
Type:
Article
Similar
MEDLINE
...
LILACS
LIS