Elastic cord-induced cyclodialysis cleft and hypotony maculopathy

We describe a case of hypotony maculopathy in which hypotony was due to a c yclodialysis cleft produced by an elastic cord injury. Sixteen months after being hit with an elastic cord, a 43-year-old white male presented with pr ogressive loss of vision in the right eye. The visual acuity in the right e ye was 1/200 due, in part, to a subluxated and cataractous lens. The intrao cular pressure (IOP) was 4 mm Hg. Gonioscopy revealed a cyclodialysis cleft at the 2 o'clock position, and fundus examination showed hypotony maculopa thy. The patient underwent pars plana vitrectomy, pars plana lensectomy, re pair of the cyclodialysis cleft, placement of an anterior chamber intraocul ar 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.