Surgical repair of large cyclodialysis clefts.

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 Ophthalmol

authors

Gross JB,Davis GH,Bell NP,Feldman RM,Blieden LS

doi

10.5301/ejo.5000868

subject

Has Abstract

pub_date

2017-05-11 00:00:00

pages

382-385

issue

3

eissn

1120-6721

issn

1724-6016

pii

DD8392BD-AF01-474A-B418-63B863AA3179

journal_volume

27

pub_type

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