Purpose: to report the results of the therapeutic approach employed in seven patients with ocular hypotony secondary to primary ciliary body detachment.
Methods: seven patients with ocular hypotony secondary to ciliary body detachment were first treated with the conventional therapy (cycloplegic and corticosteroids drops). In six patients, which this treatment failed, we performed the drainage of the supraciliary effusion and in addition, an intracamerular injection of viscoelastic substance.
Results: the hypotony was reversed in four cases, the first one with the conventional treatment and in the three others by the drainage of the suprachoroidal fluid and an intracamerular injection of viscoelastic substance. The drainage of the suprachoroidal fluid with the intracamerular injection of viscoelastic substance failed in the other three.
Conclusion: the drainage of the supraciliary effusion with
the intracamerular injection of viscoelastic substance should be tried in cases
of ocular hypotony refractory to the conventional treatment.