Persistent hypotony in cyclodialysis: When direct cyclopexy fails-role of vitrectomy

The purpose of the study was to report a case of a cyclodialysis cleft with hypotony maculopathy. A 19-year-old boy with a history of blunt ocular trauma was referred for persistent hypotony. His vision was counting fingers (CFs) at 1 m with cataract, hypotony maculopathy, inferior choroidal detachment and cyclodialysis cleft, and intraocular pressure (IOP) 6 mmHg. Optical coherence tomography revealed macular thickening with retinal folds and epiretinal membrane (ERM). He failed to respond to conservative management with atropine and steroids. Cataract surgery with pars plana vitrectomy with ERM peel and SF6 tamponade was done. After 1 month, IOP was 17 mmHg, and best-corrected visual acuity was 20/30. Vitrectomy may be effective in refractive hypotony