Elastic cord-induced cyclodialysis cleft and hypotony maculopathy

Nauman A. Chaudhry, Harry W. Flynn, Paul F. Palmberg

Research output: Contribution to journalArticlepeer-review

9 Scopus citations


We describe a case of hypotony maculopathy in which hypotony was due to a cyclodialysis deft produced by an elastic cord injury. Sixteen months after being hit with an elastic cord, a 43-year-old white male presented with progressive loss of vision in the right eye. The visual acuity in the right eye was 1/200 due, in part, to a subluxated and cataractous lens. The intraocular pressure (IOP) was 4 mm Hg. Gonioscopy revealed a cyclodialysis cleft at the 2 o'clock position, and fundus examination showed hypotony maculopathy. The patient underwent pars plana vitrectomy, pars plana lensectomy, repair of the cyclodialysis cleft, placement of an anterior chamber intraocular lens, and tightly sutured trabeculectomy without antimetabolite. Sixteen months following surgery, visual acuity was stable at 20/60 and IOP was 11 mm Hg but the chorioretinal folds persisted.

Original languageEnglish (US)
Pages (from-to)678-680
Number of pages3
JournalOphthalmic Surgery and Lasers
Issue number8
StatePublished - Sep 1 1999

ASJC Scopus subject areas

  • Ophthalmology


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