Treatment of a cyclodialysis cleft by means of ophthalmic laser microendoscope endophotocoagulation.
OBJECTIVE
To report on the repair of a cyclodialysis cleft by means of endolaser photocoagulation.


METHODS
Case report. We describe treatment of a cyclodialysis cleft by means of endolaser photocoagulation with a diode laser.


RESULTS
In a 8-year-old boy with pseudophakia and secondary glaucoma in the right eye, combined trabeculectomy/trabeculotomy was performed. Ten months later, the patient was seen with persistent hypotony with a flat filtration bleb. The hypotony was unresponsive to all forms of medical therapy. Reformation of the anterior chamber along with synechialysis revealed a 2.5 clock-hour cyclodialysis cleft by means of gonioscopy. A laser microendoscope probe was used and laser was applied to both the internal scleral and external ciliary body surfaces within the depths of the cleft. Within 3 weeks after treatment, intraocular pressure increased to 15 mm Hg and has remained at that level as of 9 months after the endolaser photocoagulation procedure.


CONCLUSIONS
Endolaser photocoagulation with the ophthalmic laser microendoscope may be an appropriate procedure, after failure of medical therapy, for the diagnosis and repair of a cyclodialysis cleft, especially in the pediatric population.
Caronia
R M
RM
Department of Ophthalmology, Long Island Jewish Medical Center, New Hyde Park, New York, USA. rcaronia@inx.net
Sturm
R T
RT
Marmor
M A
MA
Berke
S J
SJ
D002648:Child; D002924:Ciliary Body / Q000473:pathology / Q000601:surgery*; D004724:Endoscopy; D005901:Glaucoma / Q000209:etiology / Q000601:surgery; D006068:Gonioscopy; D006801:Humans; D007429:Intraocular Pressure; D017075:Laser Coagulation; D008297:Male; D015814:Ocular Hypotension / Q000209:etiology / Q000601:surgery; D019591:Pseudophakia / Q000150:complications; D012590:Sclera / Q000601:surgery*; D014130:Trabeculectomy / Q000009:adverse effects; D014603:Uveal Diseases / Q000209:etiology / Q000601:surgery*