Management of hypotonous cyclodialysis with pars plana vitrectomy, gas tamponade, and cryotherapy.
OBJECTIVE
Cyclodialysis after ocular trauma or surgery may lead to hypotony and visual loss. A new surgical approach for the treatment of cyclodialysis is reported.


METHODS
In three patients with long-standing cyclodialysis and hypotony, a pars plana vitrectomy with gas tamponade and transscleral cryotherapy to the region of the cleft was performed.


RESULTS
In all patients intraocular pressure increased to normal or near normal, choroidal detachment and retinal and disc edema resolved, and visual acuity increased.


CONCLUSIONS
A hypotonous cyclodialysis can be successfully treated with vitrectomy, gas tamponade, and cryotherapy. This approach may be superior to other techniques if there are also additional posterior segment problems, or if there is lens dislocation.
Helbig
H
H
Universitats-Augenklinik, Klinikum Benjamin Franklin, Free University of Berlin, Germany.
Foerster
M H
MH
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002387:Cataract Extraction; D002924:Ciliary Body / Q000293:injuries* / Q000601:surgery; D003131:Combined Modality Therapy; D017679:Cryotherapy; D005131:Eye Injuries / Q000150:complications / Q000503:physiopathology / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007429:Intraocular Pressure; D008297:Male; D015814:Ocular Hypotension / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D010211:Papilledema / Q000209:etiology / Q000628:therapy; D012163:Retinal Detachment / Q000209:etiology / Q000628:therapy; D013459:Sulfur Hexafluoride / Q000627:therapeutic use*; D014792:Visual Acuity; D014821:Vitrectomy
D013459:Sulfur Hexafluoride