[Post-traumatic cyclodialysis cleft treated with transscleral diode laser].
نویسندگان
چکیده
CASE REPORT A 28-year-old man who received a blunt trauma in his left eye, presented with persistent ocular hypotony (intraocular pressure: 4 mmHg) as well as loss of visual acuity (0.4), optic disc edema and chorioretinal folds in the macula. The foveal thickness, measured by optic coherence tomography, was 326 microns. Using ultrasound biomicroscopy, a desinsertion of the nasal iris and a 360 degrees choroidal detachment was observed. The hypotony did not respond to conservative treatment and 10 months after the trauma he underwent a transscleral cyclopexy with contact diode laser. One year after the laser treatment the visual acuity was 1.0, the intraocular pressure 14 mmHg and the foveal thickness 240 microns. DISCUSSION Transscleral cyclopexy with diode laser may be an effective alternative treatment to resolve post-traumatic cyclodialysis that does not respond to medical treatment.
منابع مشابه
Surgical reconstruction of traumatic ciliary body dialysis: a case report
BACKGROUND A cyclodialysis cleft is a gap resulting from disruption of the longitudinal fibers constituting the ciliary body attachment to the scleral spur. The cyclodialysis cleft can be of traumatic or iatrogenic origin, and it may occur during intraocular surgery or as a result of a glaucoma operation. In this report we present a surgical technique to treat cyclodialysis: cyclopexy combined ...
متن کاملNew insights into progressive visual loss in adult retinopathy of prematurity.
dialyse [The working mechanism of cyclodialysis] Berl Dtsch Ophthalmol Ges. 1932;49: 227-229. 9. Viikari K, Touvinen E. On hypotony following cyclodialysis surgery. Acta Ophthalmol (Copenh). 1957;35:543. 10. Barkan O. Cyclodialysis: its mode of action. Arch Ophthalmol. 1950;43:793-796. 11. Chandler P, Maumenee A. A major cause of hypotony. Am J Ophthalmol. 1961;52:609-614. 12. Ormerod LD, Baerv...
متن کاملRETINOPATHY of PREMATURITY Transscleral Retinal Photocoagulation (TSRPC) Retinopathy of Prematurity Transscleral Retinal Photocoagulation (TSRPC)
Retinopathy of Prematurity Transscleral Retinal Photocoagulation (TSRPC) The 810 nm diode laser wavelength makes lens-sparing transscleral coagulation of the retina possible, and to evaluate the efficacy and safety of transscleral diode laser coagulation for threshold ROP, the authors performed a controlled clinical study. Forty eyes of 20 preterm infants (gestational age 24-29 weeks, mean 26.8...
متن کاملMedical, laser, and surgical management of inadvertent cyclodialysis cleft with hypotony.
Cyclodialysis cleft is the result of separation of the meridonal ciliary muscle fibers from the scleral spur, thereby providing a new drainage pathway of aqueous humor into the suprachoroidal space. Cyclodialysis has been used as a surgical option for aphakic glaucoma but more often occurs inadvertently during anterior segment surgery or because of blunt ocular trauma. The new drainage channel ...
متن کاملIndirect cyclopexy for treatment of a chronic traumatic cyclodialysis cleft with hypotony
Cyclodialysis cleft is a rare clinical finding and therefore, reports on surgical repair techniques in the literature are limited. Additionally, hypotony can make repair technically challenging. We share a novel, simple surgical approach to management of a case of chronic traumatic cyclodialysis cleft with a successful outcome.
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Archivos de la Sociedad Espanola de Oftalmologia
دوره 84 1 شماره
صفحات -
تاریخ انتشار 2009