by: Ronald Steven Medalle II
An interesting and rare case that I reported during my residency in the DOH-Eye Center of East Avenue Medical Center was published recently in the first quarter 2020 issue of The Asian Journal of Ophthalmology. This case had already been presented at multiple conferences of various Ophthalmologic societies in Manila in the past 2 years.
The patient had a history of blunt trauma to the eye that initially presented with bleeding but which had been treated successfully. Later, it was observed that her eye pressures were persistently lower than normal and yet, uncommonly, she had no symptoms.
We decided to observe her closely for possible complications. Eventually, she developed a cataract which needed surgery. It was only during the procedure that an abnormal cyclodialysis cleft or an abnormal path for eye fluid to flow was noted. This explained why her eye pressure was persistently lower than normal. By performing an uncommon repair procedure along with cataract surgery the cleft was closed off and her condition resolved. Currently, the patient is doing well with very good vision.
Simple blunt trauma to the eye can lead to many complications, some relatively benign as in this case, but not always. Persons who work in hazardous conditions must use protection at all times. I was fortunate to learn about this rare and successfully managed condition during my residency. I'm especially glad the paper was fit for publication in a prestigious international journal.
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