Year : 2023  |  Volume : 31  |  Issue : 1  |  Page : 41-44

Ocular Hypotony Causing Choroidal Detachment Following Scleral Fixation of Intraocular Lens − A Case Report

1 Department of Ophthalmology, Lagos State University Teaching Hospital, Ikeja, Nigeria
2 Forever Vision Eye Center, Mushin, Lagos, Nigeria

Correspondence Address:
Dr. Idris Saka
Department of Ophthalmology, Lagos State University Teaching Hospital, 1-5 Oba Akinjobi Way, 101233, Ikeja
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/njo.njo_10_22

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This article reports a case of choroidal detachment (CD) probably from reduced volume of the globe and ocular hypotony following scleral fixation of intraocular lens (SFIOL) in a diabetic. Ocular hypotony is a complication of intraocular surgeries such as glaucoma filtering procedures, penetrating keratoplasty, and vitreous surgery. Urgent identification and management of CD is important to ensure a favorable visual outcome. We report a case of CD from prolonged ocular hypotony (OH) following SFIOL in a Nigerian male. Our patient was a 59-year-old diabetic male who presented with poor vision in left eye following cataract surgery. Left eye examination revealed quiet anterior segment with aphakia and a normal posterior segment. A +10 Dioptre sphere lens over the index eye improved visual acuity to 6/12. He was scheduled for SFIOL which was uneventful. He developed sudden decline in vision 1 week postoperative, examination revealed a serous choroidal detachment that resolved completely with high dose oral and topical steroids, systemic vitamin C, and doxycycline to a final unaided visual acuity of 6/24 at 2 weeks, and 6/9 at 3 months.

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