Cyclodialysis and Hypotony Maculopathy

Abstract

<H4>CASE REPORT </H4> <P>A 26-year-old man had abrupt visual loss in the left eye after trauma. He had been taking atropine three times a day and prednisolone every 2 hours for 1 month without improvement. Visual acuity was 20/20 in the right eye and counting fingers in the left eye. Intraocular pressure was 15 mm Hg in the right eye and 6 mm Hg in the left eye by applanation tonometry. Gonioscopy revealed a cyclodialysis cleft, and funduscopic examination revealed hypotony maculopathy (Fig. 1). Prednisolone was tapered and argon laser photocoagulation was applied to the cyclodialysis cleft<SUP>1,2</SUP> (spot size = 150 µm, duration = 0.2 second, power = 200 to 350 mW) and again 4 days later (spot size = 100 µm, duration = 0.1 second, power = 1 W) (Fig. 2). Eighteen days following the second laser treatment, his best-corrected visual acuity in the left eye had improved to 20/20-2 (Fig. 3). </P> <H4>AUTHORS</H4> <P>From the Bascom Palmer Eye Institute, University of Miami School of Medicine, Miami, Florida. </P> <P>Accepted for publication November 10, 2005. </P> <P>Address reprint requests to Harry W. Flynn, Jr., MD, 900 NW 17th Street, Miami, FL 33136. </P>