PMC3284206_01
With conventional gonioscopy, the angle appears occluded.
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Gonioscopic evaluation was deemed difficult (Figure 1), and a limited funduscopic view showed no evidence of choroidal folds or posterior globe rupture.
Cyclodialysis cleft is demonstrated using indentation gonioscopy.
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Indentation gonioscopy with mydriasis revealed a 360  cyclodialysis cleft (Figure 2).
One week following cryotherapy, the anterior chamber is formed.
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Eight hours following the procedure, the intraocular pressure was 9 mmHg, and 3 days later (Figure 3), the visual acuity had improved to 6/6, with complete resolution of the hypotonous maculopathy.
Anterior segment OCT 2 months following cryotherapy, showing closure of the cyclodialysis cleft. The patient had a contact intraocular pressure of 12 mmHg, with unaided Snellen visual acuity of 6/5.. Abbreviation: OCT, optical coherence tomography.
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At 2-month review, the cleft appeared to have closed completely (Figure 4).