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
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journal_title:European journal of ophthalmology
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abstract::Astigmatic changes in three series of cataract surgical procedures were compared. The first two series comprised eyes having a manual extracapsular cataract extraction (ECCE) through a 12.0 mm or 8.0 mm incision and implant of a PMMA posterior chamber lens. The third series comprised eyes having phacoemulsification th...
journal_title:European journal of ophthalmology
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abstract::not available. ...
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journal_title:European journal of ophthalmology
pub_type: 杂志文章,多中心研究
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更新日期:2003-08-01 00:00:00
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journal_title:European journal of ophthalmology
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doi:
更新日期:1996-10-01 00:00:00
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journal_title:European journal of ophthalmology
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doi:
更新日期:1992-10-01 00:00:00
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journal_title:European journal of ophthalmology
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更新日期:1998-04-01 00:00:00
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