Abstract:
PURPOSE:To describe a new surgical technique to effectively close large (>180 degrees) cyclodialysis clefts. METHODS:Our method involves the use of procedures commonly associated with repair of retinal detachment and complex cataract extraction: phacoemulsification with placement of a capsular tension ring followed by pars plana vitrectomy and gas tamponade with light cryotherapy. We also used anterior segment optical coherence tomography (OCT) as a noninvasive mechanism to determine the extent of the clefts and compared those results with ultrasound biomicroscopy (UBM) and gonioscopy. RESULTS:This technique was used to repair large cyclodialysis clefts in 4 eyes. All 4 eyes had resolution of hypotony and improvement of visual acuity. One patient had an intraocular pressure spike requiring further surgical intervention. Anterior segment OCT imaging in all 4 patients showed a more extensive cleft than UBM or gonioscopy. CONCLUSIONS:This technique is effective in repairing large cyclodialysis clefts. Anterior segment OCT more accurately predicted the extent of each cleft, while UBM and gonioscopy both underestimated the size of the cleft.
journal_name
Eur J Ophthalmoljournal_title
European journal of ophthalmologyauthors
Gross JB,Davis GH,Bell NP,Feldman RM,Blieden LSdoi
10.5301/ejo.5000868subject
Has Abstractpub_date
2017-05-11 00:00:00pages
382-385issue
3eissn
1120-6721issn
1724-6016pii
DD8392BD-AF01-474A-B418-63B863AA3179journal_volume
27pub_type
杂志文章abstract:PURPOSE:To report a case of bilateral retinocytoma associated with calcified vitreous deposits. METHODS:Case report. RESULTS:On routine examination, a 35-year-old asymptomatic father of a child with bilateral retinoblastoma presented bilateral retinocytoma associated with vitreous calcifications, in the vicinity of t...
journal_title:European journal of ophthalmology
pub_type: 杂志文章
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journal_title:European journal of ophthalmology
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journal_title:European journal of ophthalmology
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journal_title:European journal of ophthalmology
pub_type: 杂志文章,多中心研究,随机对照试验
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journal_title:European journal of ophthalmology
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journal_title:European journal of ophthalmology
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