title: Achieving Controlled Intraocular Pressure and Restoration of Vision Following Proactive Treatment of Total Choroidal Detachment Due to Endocyclophotocoagulation.
abstract: 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.
authors.affiliation: Department of Ophthalmology, Specialized Medical Center Hospital, Imam Mohammed bin Saud Islamic University, Riyadh, Saudi Arabia; Department of Ophthalmology, College of Medicine, Imam Mohammed bin Saud Islamic University, Riyadh, Saudi Arabia.
authors.forename: Tariq
authors.initials: T
authors.lastname: Al-Asbali
mesh_terms: D000328:Adult; D000959:Antihypertensive Agents / Q000627:therapeutic use; D015862:Choroid Diseases / Q000188:drug therapy* / Q000209:etiology / Q000503:physiopathology; D002924:Ciliary Body / Q000601:surgery*; D005260:Female; D006801:Humans; D007429:Intraocular Pressure / Q000502:physiology*; D017075:Laser Coagulation / Q000009:adverse effects*; D015814:Ocular Hypotension / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D011183:Postoperative Complications; D012189:Retrospective Studies; D014065:Tonometry, Ocular; D016896:Treatment Outcome; D014786:Vision Disorders / Q000534:rehabilitation*; D014792:Visual Acuity / Q000502:physiology*
chemical_list: D000959:Antihypertensive Agents
keywords: Choroidal Detachment; Cyclophotocoegulation; Glaucoma