Severe pupil distortion following transchamber repair of a cyclodialysis cleft.
This report describes a potential complication following the repair of a traumatic cyclodialysis cleft in a pediatric patient using a novel technique. A healthy 11-year-old boy suffered a blunt traumatic tennis ball injury to his left eye. He underwent repair of a retinal dialysis with detachment shortly after the injury. Postoperatively, he developed persistent hypotony, shallow anterior chamber, and hypotony maculopathy. An occult cyclodialysis cleft was suspected. Examination under anesthesia revealed a small cyclodialysis deft. The cleft was closed by transchamber placement of prolene sutures across the cleft under direct visualization through a Tano lens. Postoperative course was complicated by severe pupillary distortion despite subsequent suture removal.
D002648:Child; D002924:Ciliary Body / Q000293:injuries*; D005131:Eye Injuries / Q000601:surgery*; D005654:Fundus Oculi; D006801:Humans; D008297:Male; D013508:Ophthalmologic Surgical Procedures / Q000009:adverse effects*; D011183:Postoperative Complications; D011681:Pupil Disorders / Q000209:etiology*; D012160:Retina / Q000293:injuries; D012167:Retinal Perforations / Q000601:surgery; D013536:Suture Techniques; D013715:Tennis / Q000293:injuries; D016896:Treatment Outcome; D014792:Visual Acuity; D014949:Wounds, Nonpenetrating / Q000601:surgery*