[Post-traumatic cyclodialysis cleft treated with transscleral diode laser].
METHODS
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.


CONCLUSIONS
Transscleral cyclopexy with diode laser may be an effective alternative treatment to resolve post-traumatic cyclodialysis that does not respond to medical treatment.
Cerio-Ramsden
C D
CD
Servicio de Oftalmología, Hospital Comarcal de Laredo, Cantabria.
Muñoz-Negrete
F J
FJ
Rebolleda
G
G
D000328:Adult; D001082:Aqueous Humor; D002829:Choroid / Q000293:injuries*; D002924:Ciliary Body / Q000293:injuries*; D005131:Eye Injuries / Q000150:complications*; D006801:Humans; D007498:Iris / Q000293:injuries; D017075:Laser Coagulation; D054023:Lasers, Semiconductor; D008297:Male; D033401:Microscopy, Acoustic; D015814:Ocular Hypotension / Q000209:etiology / Q000601:surgery*; D010211:Papilledema / Q000209:etiology / Q000601:surgery*; D012164:Retinal Diseases / Q000209:etiology / Q000601:surgery; D041623:Tomography, Optical Coherence; D014949:Wounds, Nonpenetrating / Q000150:complications*