Late-onset Ocular Hypotony Revealing Post-traumatic Cyclodialysis: A Case Report
M. Mouajab *
Ophthalmology Department, HASSAN II Hospital, Sidi Mohamed Ben Abdallah University, Fez, Morocco.
H. Moutei
Ophthalmology Department, HASSAN II Hospital, Sidi Mohamed Ben Abdallah University, Fez, Morocco.
F. Chraibi
Ophthalmology Department, HASSAN II Hospital, Sidi Mohamed Ben Abdallah University, Fez, Morocco.
M. Abdellaoui
Ophthalmology Department, HASSAN II Hospital, Sidi Mohamed Ben Abdallah University, Fez, Morocco.
I. Benatiya
Ophthalmology Department, HASSAN II Hospital, Sidi Mohamed Ben Abdallah University, Fez, Morocco.
*Author to whom correspondence should be addressed.
Abstract
Post-traumatic cyclodialysis is a rare entity resulting from a detachment of the ciliary body from the scleral spur, most often secondary to blunt trauma. This creates a shunt space between the anterior chamber and the suprachoroidal space, leading to variable ocular hypotony. Its significance lies in the potential consequences for the optic nerve and macula. We report a case of delayed hypotony in a 13-year-old child, in whom intraocular pressure decreased from 12 to 6 mmHg over fifteen days following trauma, with a visual acuity declining from 10/10 to 4/10 (0.0 to 0.4 LogMAR) .The diagnosed was made using gonioscopy and anterior segment optical coherence tomography (AS-OCT).The patient’s condition evolved favorably under conservative medical management with cycloplegia using atropine 1% for one month. This case highlights the importance of close monitoring and early diagnosis in pediatric post-traumatic cyclodialysis.
Keywords: Cyclodialysis, ocular hypotony, ocular trauma