New method of surgical repair for 360-degree cyclodialysis.
A 44-year-old man suffered traumatic 360-degree cyclodialysis in the left eye complicated by persistent hypotony, disc edema, maculopathy, and cataract. Treatment was removal of the cataract with phacoemulsification followed by insertion of a capsular tension ring with 2-point scleral suture fixation with polypropylene in the ciliary sulcus. A foldable acrylic posterior chamber intraocular lens was implanted in the capsular bag through the 4.1 mm corneal tunnel incision. The intraocular pressure responded well with resolution of hypotony, choroidal detachment, disc edema, and maculopathy. Ultrasound biomicroscopy showed complete closure of the cyclodialysis cleft.
Yuen
Nancy S Y
NS
Department of Ophthalmology, Tung Wah Eastern Hospital, Hospital Authority Ophthalmic Service, Causeway Bay, Hong Kong SAR, China. nyuensy@netvigator.com
Hui
S P
SP
Woo
Donald C F
DC
D000328:Adult; D002386:Cataract / Q000209:etiology; D002829:Choroid / Q000000981:diagnostic imaging / Q000293:injuries*; D002924:Ciliary Body / Q000000981:diagnostic imaging / Q000293:injuries*; D005131:Eye Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007429:Intraocular Pressure; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007908:Lens, Crystalline / Q000293:injuries; D008297:Male; D033401:Microscopy, Acoustic; D015814:Ocular Hypotension / Q000209:etiology; D010211:Papilledema / Q000209:etiology; D018918:Phacoemulsification / Q000379:methods*; D019919:Prosthesis Implantation; D012421:Rupture; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging / Q000601:surgery*