Hypotony Due to Cyclodialysis Clef
A patient with a history of high myopia presented as a referral from an the retina service for low intraocular pressure and blurry vision five months after pars plana vitrectomy for vitreous opacities in the left eye. His intraocular pressure was 8 on difluprednate four times day and atropine twice daily. His vision was 20/30, and macula ocular coherence tomography demonstrated choroidal folds in the macula. Due to lack of improvement with conservative management, endoscopic photocoagulation was performed to close the cleft. His cleft was closed on gonioscopy on post-operative day one, and he did not undergo an intraocular pressure spike. By post-operative month one, his intraocular pressure was 14 and the cleft remained closed on gonioscopy. The patient noted subjective visual improvement.
Presentation Date: 03/17/2022
Issue Date: 03/25/2022
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