title: Cyclodialysis cleft secondary to removal of an anterior chamber phakic intraocular lens.
abstract: We present a patient who had decreased visual acuity and hypotony in the left eye 2 months after removal of an anterior chamber phakic intraocular lens (pIOL). Gonioscopy demonstrated a cyclodialysis cleft at the 6 o'clock position in the region of the IOL footplate, which was confirmed by ultrasound biomicroscopy. A cyclodialysis cleft formation is one possible complication of pIOL removal. Careful gonioscopy evaluation before removal of pIOLs should be mandatory to assess the amount of fibrosis and the presence of synechia between the IOL and the surrounding tissues.
authors.affiliation: Department of Ophthalmology, the New York Eye and Ear Infirmary, New York, USA.
authors.forename: Edgar M
authors.initials: EM
authors.lastname: Espana
authors.forename: Celso
authors.initials: C
authors.lastname: Tello
authors.forename: Jeffrey M
authors.initials: JM
authors.lastname: Liebmann
authors.forename: Robert
authors.initials: R
authors.lastname: Ritch
mesh_terms: D000867:Anterior Chamber / Q000000981:diagnostic imaging / Q000601:surgery*; D002924:Ciliary Body / Q000000981:diagnostic imaging / Q000293:injuries*; D020878:Device Removal; D005131:Eye Injuries / Q000000981:diagnostic imaging / Q000209:etiology*; D005260:Female; D006068:Gonioscopy; D006801:Humans; D007429:Intraocular Pressure; D007431:Intraoperative Complications; D007908:Lens, Crystalline / Q000502:physiology*; D007910:Lenses, Intraocular; D033401:Microscopy, Acoustic; D008875:Middle Aged; D015814:Ocular Hypotension / Q000209:etiology; D012421:Rupture; D014603:Uveal Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D014792:Visual Acuity