Late-onset Ocular Hypotony Revealing Post-traumatic Cyclodialysis:  A Case Report

M. Mouajab; H. Moutei; F. Chraibi; M. Abdellaoui; I. Benatiya

doi:10.9734/ajrrop/2026/v9i1150

Research Article Open access CC BY 4.0

Late-onset Ocular Hypotony Revealing Post-traumatic Cyclodialysis: A Case Report

M. Mouajab, H. Moutei, F. Chraibi, M. Abdellaoui, I. Benatiya

Asian Journal of Research and Reports in Ophthalmology · pp. 87–92 · Published 4 Apr 2026

10.9734/ajrrop/2026/v9i1150

Abstract

Post-traumatic cyclodialysis is a rare entity resulting from a detachment of the ciliary body from the scleral spur, most often secondary to blunt trauma. This creates a shunt space between the anterior chamber and the suprachoroidal space, leading to variable ocular hypotony. Its significance lies in the potential consequences for the optic nerve and macula. We report a case of delayed hypotony in a 13-year-old child, in whom intraocular pressure decreased from 12 to 6 mmHg over fifteen days following trauma, with a visual acuity declining from 10/10 to 4/10 (0.0 to 0.4 LogMAR) .The diagnosed was made using gonioscopy and anterior segment optical coherence tomography (AS-OCT).The patient’s condition evolved favorably under conservative medical management with cycloplegia using atropine 1% for one month. This case highlights the importance of close monitoring and early diagnosis in pediatric post-traumatic cyclodialysis.

Cyclodialysis ocular hypotony ocular trauma

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M. Mouajab, H. Moutei, F. Chraibi, M. Abdellaoui, I. Benatiya (2026). Late-onset Ocular Hypotony Revealing Post-traumatic Cyclodialysis: A Case Report. Asian Journal of Research and Reports in Ophthalmology , 87–92. https://doi.org/10.9734/ajrrop/2026/v9i1150

Affiliations

M. Mouajab — Ophthalmology Department, HASSAN II Hospital, Sidi Mohamed Ben Abdallah University, Fez, Morocco.
H. Moutei — Ophthalmology Department, HASSAN II Hospital, Sidi Mohamed Ben Abdallah University, Fez, Morocco.
F. Chraibi — Ophthalmology Department, HASSAN II Hospital, Sidi Mohamed Ben Abdallah University, Fez, Morocco.
M. Abdellaoui — Ophthalmology Department, HASSAN II Hospital, Sidi Mohamed Ben Abdallah University, Fez, Morocco.
I. Benatiya — Ophthalmology Department, HASSAN II Hospital, Sidi Mohamed Ben Abdallah University, Fez, Morocco.

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