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

Abstract

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.