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Middle East African Journal of Ophthalmology Middle East African Journal of Ophthalmology
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CASE REPORT
Year : 2016  |  Volume : 23  |  Issue : 3  |  Page : 265-267

Achieving controlled intraocular pressure and restoration of vision following proactive treatment of total choroidal detachment due to endocyclophotocoagulation


Department of Ophthalmology, Specialized Medical Center Hospital; Department of Ophthalmology, College of Medicine, Imam Mohammed bin Saud Islamic University, Riyadh, Saudi Arabia

Correspondence Address:
Tariq Al-Asbali
Department of Ophthalmology, College of Medicine, Imam Mohammed bin Saud Islamic University, P. O. Box 5701, Othman Ibn Affan Street, Riyadh 11432
Saudi Arabia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-9233.186152

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Ocular hypotony due to choroidal detachment (CD) following endocyclophotocoagulation (ECP) is transient. If hypotony lasts for more than 1 week, it could affect vision. This is a case of refractory glaucoma following cataract surgery that was managed by ECP. We drained subchoroidal fluid as CD did not resolve after 1 week. After 5 months, the intraocular pressure was restored to 16 mmHg with one topical glaucoma medication, uncorrected vision improved to 20/300, and with aphakic soft contact lens, it was 20/50. Ophthalmologists facing such complications need not panic and manage hypotony, and the prognosis of such intervention seems to be promising.


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