Cryotherapy for the management of refractory hypotony secondary to post-goniotomy cyclodialysis cleft

PURPOSETo report on the management of an unusual case of post-goniotomy hypotony. OBSERVATIONA 41-year-old female with pigmentary glaucoma presented with a post-goniotomy cyclodialysis cleft and signs of hypotony maculopathy. Indirect cyclopexy closed the visible cleft but did not resolve her hypoto...

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Published inAmerican journal of ophthalmology case reports Vol. 20; p. 100876
Main Authors Portney, David S, Michelson, Sarah J, Besirli, Cagri G, Shah, Manjool
Format Report
LanguageEnglish
Published 01.12.2020
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Summary:PURPOSETo report on the management of an unusual case of post-goniotomy hypotony. OBSERVATIONA 41-year-old female with pigmentary glaucoma presented with a post-goniotomy cyclodialysis cleft and signs of hypotony maculopathy. Indirect cyclopexy closed the visible cleft but did not resolve her hypotony, despite neither ultrasonographic nor gonioscopic evidence of an open cleft or communication channel. Cryotherapy-induced cyclopexy and subsequent viscoelastic agent fill increased the intraocular pressure back to baseline. CONCLUSIONSThis is the first reported case of cryotherapy correcting hypotony in a patient with no gonioscopic or ultrasonographic evidence of a cyclodialysis cleft. It demonstrates the utility of cryotherapy in the management of persistent ocular hypotony despite no detectable channel of aqueous outlet.
Bibliography:ObjectType-Case Study-2
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SourceType-Reports-1
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ISSN:2451-9936
DOI:10.1016/j.ajoc.2020.100876