Cyclodialysis-Cleft (1)

This 43 year-old man was punched in this eye 5 years previously and has had decreased vision since that time. On initial examination he had 20/50 vision with an intraocular pressure of 8 mmHg. Gonioscopy was difficult but it appeared that there might be a cyclodialysis cleft inferiorly. The patient was treated with steroids in the hope of decreasing trabecular outflow. He was also placed on atropine to deepen the angle. On follow-up his intraocular pressure had not improved but the atropine had improved the view of his iridocorneal angle and it was clear that there was a cyclodialysis cleft at twelve o'clock.