Posterior cyclodialysis cleft following intravitreal injection

Area of Science:

• Ophthalmology
• Retinal Diseases
• Ophthalmic Surgery

Background:

• Intravitreal injections are common treatments for various retinal conditions.
• Complications, though rare, require thorough understanding and diagnosis.

Observation:

• A case of hypotony (low intraocular pressure) following an intravitreal injection is presented.
• The hypotony was attributed to a posterior cyclodialysis cleft.

Findings:

• Posterior cyclodialysis clefts are an uncommon cause of hypotony post-intravitreal injection.
• Conventional gonioscopy may fail to visualize posterior clefts.
• Ultrasound biomicroscopy can be a valuable tool for diagnosing posterior cyclodialysis clefts.

Implications:

• This case highlights a rare complication of intravitreal injections.
• Emphasizes the importance of advanced imaging techniques like ultrasound biomicroscopy for accurate diagnosis of hypotony.
• Informs ophthalmologists about potential diagnostic challenges and solutions for post-injection hypotony.