J Korean Ophthalmol Soc > Volume 56(2); 2015 > Article
Journal of the Korean Ophthalmological Society 2015;56(2):300-303.
DOI: https://doi.org/10.3341/jkos.2015.56.2.300    Published online February 15, 2015.
A Case of Cyclodialysis Cleft with Hypotony during Ahmed Valve Implantation Surgery.
Hyun Yeoun Kim, Jae Woo Kim
Department of Ophthalmology, Catholic University of Daegu School of Medicine, Daegu, Korea. jwkim@cu.ac.kr
아메드밸브삽입술 중 발생한 모양체해리 틈에 의한 저안압증 1예
대구가톨릭대학교 의과대학 안과학교실
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.
Key Words: Cyclodialysis cleft;Cycloplegics;Glaucoma;Hypotony;Steroid

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