Pars plana vitrectomy for traumatic cyclodialysis with persistent hypotony

Ishida, Yasuaki; Minamoto, Atsushi; Takamatsu, Michiya; Kuwabara, R; Yamane, Kunio; Mishima, Hiromu K.

doi:10.1038/sj.eye.6701368

Cited by 8 publications

(4 citation statements)

References 10 publications

(14 reference statements)

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“… 9 – 11 Meanwhile, Ishida et al reported a case treated by vitrectomy, cyclopexy with transscleral diathermy, and gas tamponade. 12 Medeiros et al 13 introduced the surgical method of vitrectomy, silicone oil, or gas endotamponade. A recent research studied large cyclodialysis clefts treated by multiple surgical steps, including vitrectomy, cryotherapy, phacoemulsification with placement of a capsular tension ring, and gas tamponade.…”

Section: Discussionmentioning

confidence: 99%

Comparing Vitrectomy, Silicone Oil Endotamponade With/Without Cyclopexy to Treat Cyclodialysis Clefts With Severe Ocular Trauma

Wang

Zhao

2021

Retina

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Section: Discussionmentioning

confidence: 99%

Comparing Vitrectomy, Silicone Oil Endotamponade With/Without Cyclopexy to Treat Cyclodialysis Clefts With Severe Ocular Trauma

Wang

Zhao

2021

Retina

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“…As described above, the current surgical treatments for cyclodialysis include ciliary body suturing [1][2][3], cyclocryotherapy [4][5][6]22], laser photocoagulation [7][8][9][10], encircling [11,12], IOL suture fixation [13][14][15][16], and vitreous surgery [17][18][19][20][21]. Cyclocryotherapy and laser photocoagulation are performed to close the cyclodialysis cleft via the creation of an adhesion between the ciliary body and the sclera.…”

Section: Discussionmentioning

confidence: 99%

Ciliary body suturing using intraocular irrigation for traumatic cyclodialysis: two case reports

et al. 2020

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Background: We report two cases (two eyes) of traumatic cyclodialysis with prolonged decrease of intraocular pressure that were successfully treated with surgery by ciliary body suturing using intraocular irrigation. Case presentation: This study involved a 17-year-old Japanese boy (patient 1) and a 31-year-old Japanese man (patient 2) in whom cyclodialysis was sustained in one eye after blunt-force ocular trauma from a thrown ball. Because the hypotony maculopathy in both patients did not resolve after conservative treatment, ciliary body suturing was performed. Briefly, a 25-gauge trocar intraocular irrigation needle for vitrectomy was inserted into the vitreous cavity of the injured eye. A lamellar scleral flap was then made, and an incision was created on the sclera while maintaining intraocular pressure. Next, the detached ciliary body was sutured to the sclera under direct vision. The intraocular fluid at the site of cyclodialysis was then rapidly drained from the scleral wound because of elevated intraocular pressure in the vitreous cavity, and the ciliary body was visually recognized through the scleral wound under direct vision, thus allowing a stable suture fixation of the ciliary body to the sclera. Postoperatively, the treated eye in both cases showed improvement of intraocular pressure and visual function. Conclusions: The surgical method described in this report was found to be effective for draining intraocular fluid at the site of cyclodialysis and for performing a stable suture fixation of the ciliary body to the sclera through the scleral wound under direct vision, and it should be considered advantageous for avoiding intraoperative bleeding and suturing in a blinded manner.

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“…e encircling buckle is useful, especially for the cases with a wide area of angle recession and cyclodialysis [14]. For these cases with an extensive detachment of ciliary body, the multiple ciliary sutures which are challenging with a risk of complications such as intraocular hemorrhage and creating another cyclodialysis cleft [15] are required if the direct cyclopexy is attempted. e less invasive treatments, such as laser and cryotherapy, are usually not effective for these cases with a wide recession.…”

Section: Discussionmentioning

confidence: 99%

Concurrent Phacoemulsification and Encircling for Hypotony Maculopathy after Blunt Trauma

Baba

Yokouchi

Yamamoto

2020

Case Reports in Medicine

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A 37-year-old Japanese man had his right eye hit by a fist. His right eye developed hypotony maculopathy and secondary cataract, and his visual acuity decreased to 20/200 with an intraocular pressure of 4 mmHg. He underwent phacoemulsification and aspiration, implantation of the intraocular lens, and encircling with a silicone tire. His visual acuity improved to 20/20 and stable for more than one year postoperatively. The intraocular pressure in his right eye increased to 12 mmHg, and maculopathy was resolved entirely. It was suggested that an encircling buckle obstructed the uveoscleral outflow through the cyclodialysis and increased intraocular pressure. Concurrent cataract surgery and encircling was sufficient to improve the vision.

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Pars plana vitrectomy for traumatic cyclodialysis with persistent hypotony

Abstract: Figure 2 Closure of nasal cyclodialysis cleft is observed.Correspondence

Cited by 8 publications

References 10 publications

Comparing Vitrectomy, Silicone Oil Endotamponade With/Without Cyclopexy to Treat Cyclodialysis Clefts With Severe Ocular Trauma

Comparing Vitrectomy, Silicone Oil Endotamponade With/Without Cyclopexy to Treat Cyclodialysis Clefts With Severe Ocular Trauma

Ciliary body suturing using intraocular irrigation for traumatic cyclodialysis: two case reports

Concurrent Phacoemulsification and Encircling for Hypotony Maculopathy after Blunt Trauma

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