Cyclodialysis cleft repair: A multi‐centred, retrospective case series—Response

Popović, Marko; Shareef, Shakeel; Mura, Juan J.; Valenzuela, Felipe; Martín-Moro, J. González; Schlenker, Matthew B.; Barton, Keith; Muñoz‐Negrete, Francisco J.; Razeghinejad, Mohammad Reza; Ahmed, Iqbal Ike K.

doi:10.1111/ceo.13427

Cited by 2 publications

(8 citation statements)

References 5 publications

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“…However, these laser techniques have unpredictable and sub‐optimal outcomes, a series reporting only 18.8% success (Popovic et al. ,b). Hence, they may be an option for small clefts when the patient is not fit or willing for surgery.…”

Section: Management Based On Current Evidence‐based Knowledgementioning

confidence: 99%

“…A large multi‐centric series on the repair of cyclodialysis clefts presented the pooled data from across different nations (Popovic et al. ,b). It was prominent that there was no uniformity in the nomenclature used for reporting the techniques followed (Selvan & Gupta ).…”

Section: Management Based On Current Evidence‐based Knowledgementioning

confidence: 99%

“…Sometimes, they have been plainly referred to as ‘cyclopexy’ without further detailing (Popovic et al. ,b ‐ response). Hence, in order to simplify the surgical categorization, we propose the following changes in the existing traditional nomenclature and sub‐classify the reported techniques under the suggested categories so that uniformity in reporting and comparison of results between different studies becomes possible.…”

Section: Management Based On Current Evidence‐based Knowledgementioning

confidence: 99%

“…; Popovic et al. b,). These differ in being external/internal, direct/indirect or closure aided by sutures/extraneous substances.…”

Section: Introductionmentioning

confidence: 98%

“…Due to the conspicuous ambiguity in the existing management strategies and their nomenclature (Popovic et al. ,b; Selvan & Gupta ), we intend to propose a uniform system of classification for these corrective techniques, with appraisal of the established methods and an update of the novel techniques in vogue.…”

Section: Introductionmentioning

confidence: 99%

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Cyclodialysis: an updated approach to surgical strategies

Selvan

Gupta

2019

Acta Ophthalmologica

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Cyclodialysis is a rare occurrence and is difficult to treat, it being concealed behind the iris. In view of the varied success outcomes of the different available surgical repair techniques, there is at present no clear consensus regarding their management strategies. Through this article, we intend to appraise the established surgical methods, update the novel techniques in vogue, discuss their outcomes and propose a uniform system to codify these corrective techniques. They have been reclassified under the terms 'exocyclopexy', 'endocyclopexy', 'exocyclotamponade' and 'endocyclotamponade' based on the approach used and their mode of action. The ab-interno techniques (endocyclopexy and endocyclotamponade) are easier to perform, offer good success rates and better safety profiles such that they may be considered as a viable alternative to the standard exocyclopexy in either cataractous or pseudophakic and aphakic eyes.

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Section: Management Based On Current Evidence‐based Knowledgementioning

confidence: 99%

Section: Management Based On Current Evidence‐based Knowledgementioning

confidence: 99%

Section: Management Based On Current Evidence‐based Knowledgementioning

confidence: 99%

“…; Popovic et al. b,). These differ in being external/internal, direct/indirect or closure aided by sutures/extraneous substances.…”

Section: Introductionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

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Cyclodialysis: an updated approach to surgical strategies

Selvan

Gupta

2019

Acta Ophthalmologica

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Effect of Direct Cyclopexy for Traumatic Cyclodialysis Cleft: A Retrospective Clinical Study

Wang,

JIANG,

2024

Preprint

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Purpose To evaluate the clinical effect of direct cyclopexy for treatment of traumatic cyclodialysis cleft. Methods This is a retrospective case series study. Patients with traumatic cyclodialysis cleft who were treated by direct cyclopexy and had complete medical records in Tianjin Eye Hospital from Feb, 2021 to Aug, 2022 were selected. The detailed characteristics of 23 cases were analyzed. Preoperative and postoperative visual acuity, intraocular pressure (IOP), and extent of ciliary detachment of the patients were recorded. All the patients were followed up 6months. Results 19 of 23 cases underwent single direct cyclopexy, the other 4 cases with severe posterior section damage received direct cyclopexy combined with vitrectomy, suprachoroidal drainage etc. After operation, 95.65% patients (22/23) successfully reset the ciliary body, including 4 cases receiving combined operations, which has significant difference in statistical significance compared with that of preoperative(P < 0.01). The mean preoperative IOP was 6.48 ± 1.62 mmHg and it has a different degree of rebound in 21 cases reaching 13.29 ± 2.11 mmHg on 6 months after operation, including 6 cases of transient high intraocular pressure (> 21mmHg). The difference has statistical significance (t = 12.74, P < 0.01). Best corrected visual acuity was increased from preoperatively 0.60 ± 0.21 logMAR to 0.38 ± 0.26 log MAR postoperatively, in which the vision > 0.3 reached 65.2% and the difference has statistical significance(t = 5.04, P < 0.01). Conclusions According to different condition, direct cyclopexy combined with or without vitrectomy is an effective method for treatment of traumatic ciliary body detachment.

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Cyclodialysis cleft repair: A multi‐centred, retrospective case series—Response

Cited by 2 publications

References 5 publications

Cyclodialysis: an updated approach to surgical strategies

Cyclodialysis: an updated approach to surgical strategies

Effect of Direct Cyclopexy for Traumatic Cyclodialysis Cleft: A Retrospective Clinical Study

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