Hypotony: an unusual consequence of intraocular lens malposition.
Common causes of postoperative hypotony include wound leakage, inflammatory reaction of the ciliary body, cyclodialysis, and ciliochoroidal detachment. We present an unusual case of ocular hypotony in a pseudophakic eye associated with distortion of the ciliary body by a decentered posterior chamber intraocular lens (IOL) haptic. A simple surgical repositioning of the IOL relieved the hypotony by eliminating the irritation by the IOL haptic on the distorted edematous ciliary body. Ciliochoroidal irritation by IOL haptics should be considered a possible cause of ocular hypotony in a pseudophakic eye.
Kayikçioğlu
O
O
Department of Ophthalmology, Univeristy of Ege, Faculty of Medicine, Izmir, Turkey.
Yağci
A
A
Akkin
C
C
D002387:Cataract Extraction / Q000009:adverse effects; D015862:Choroid Diseases / Q000150:complications; D002924:Ciliary Body / Q000473:pathology; D005500:Follow-Up Studies; D005548:Foreign-Body Migration / Q000150:complications* / Q000601:surgery; D006801:Humans; D007429:Intraocular Pressure; D007910:Lenses, Intraocular / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D015814:Ocular Hypotension / Q000209:etiology* / Q000601:surgery; D011183:Postoperative Complications; D012086:Reoperation; D014603:Uveal Diseases / Q000150:complications; D014792:Visual Acuity