Management of persistent hypotony after planned or inadvertent cyclodialysis

In summary, six patients with persistent hypotony complicating various intraocular procedures on the anterior segment of the eye are presented. Two cases of hypotony followed a cyclodialysis procedure, three occurred after round-pupil intracapsular cataract extraction, and one after peripheral iridectomy. In each case a patent cyclodialysis cleft was present as demonstrated by gonioscopic visualization and by recovering fluorescein from the sclerotomy site after injection of the dye into the anterior chamber. Drainage of supraciliary fluid in conjunction with penetrating diathermy to the sclera, in a semicircular fashion, about the circumferential extent of the cleft was effective in elevating the intraocular pressure and improving visual acuity in each case.