Iatrogenic Following Closure of a Cyclodialysis Cleft

Once the detached ciliary body is reattached, the previously low IOP can rapidly reach extreme values (see Chap. 2.8).

11 In rare cases, the cause is orbital congestion in patients undergoing hydration therapy in cases of severe thermal burn. Another very rare etiology may be emphysema from one of the sinuses after an orbital fracture.

Regarding therapy, prophylactic treatment using topical beta blockers and oral carbonic anhydrase inhibitors is recommended to avoid such an IOP spike [19].

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