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

Authors
  • Portney, David S1
  • Michelson, Sarah J2
  • Besirli, Cagri G2
  • Shah, Manjool2
  • 1 University of Michigan Medical School, 1301 Catherine St, Ann Arbor, MI, 48109, USA.
  • 2 Department of Ophthalmology and Visual Sciences, Kellogg Eye Center, University of Michigan, 1000 Wall St, Ann Arbor, MI, 48105, USA.
Type
Published Article
Journal
American Journal of Ophthalmology Case Reports
Publisher
Elsevier
Publication Date
Dec 01, 2020
Volume
20
Pages
100876–100876
Identifiers
DOI: 10.1016/j.ajoc.2020.100876
PMID: 32995663
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

To report on the management of an unusual case of post-goniotomy hypotony. A 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. This 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. © 2020 The Authors.

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