Posterior cyclodialysis cleft following intravitreal injection.

PURPOSE: To describe an unusual complication of an intravitreal injection.

OBSERVATION: Here, we report a case of hypotony following an intravitreal injection due to a posterior cyclodialysis cleft and describe its management and resolution.

CONCLUSIONS

Posterior cyclodialysis clefts are a rare cause of hypotony following intravitreal injection. Posterior clefts may not be visualized by conventional gonioscopy. Ultrasound biomicroscopy may be useful in aiding diagnosis.

IMPORTANCE

This report highlights a rare cause of hypotony following intravitreal injection and illustrates the importance of adjunctive imaging for accurate diagnosis.