title: Dual Endotemponade for Extensive Long-standing Cyclodialysis Using Sulcus-fixated Cionni Ring and PCIOL.
abstract: A young patient presented with visual acuity of hand movements only, unrecordable intraocular pressure, and total cataract after trauma 12 months ago. She reported failure to improve with conservative therapy as well as a direct cycloplexy elsewhere. After cleft localization on preoperative gonioscopy, ultrasound biomicroscopy (UBM), and intraoperative gonioscopy, a partial-thickness scleral flap was fashioned at the site of maximum cleft height. Following phacoaspiration, a multipiece intraocular lens was implanted in the sulcus; its haptics aligned to the axis with maximum height of cyclodialysis. A Cionni ring placed in sulcus was sutured to sclera under the flap to provide additional tamponading effect. Postoperative UBM and gonioscopy confirmed cleft closure. Normalization of intraocular pressure was found on repeated follow-ups till 1 year (12 to 14 mm Hg). UBM showed increase in sulcus diameter, and "double indentation sign" on the ciliary body.
authors.affiliation: Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Shikha
authors.initials: S
authors.lastname: Gupta
authors.forename: Pradeep
authors.initials: P
authors.lastname: Sagar
authors.forename: Varun
authors.initials: V
authors.lastname: Gogia
authors.forename: Sudarshan
authors.initials: S
authors.lastname: Khokhar
authors.forename: Tanuj
authors.initials: T
authors.lastname: Dada
mesh_terms: D000328:Adult; D001753:Blast Injuries / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D002924:Ciliary Body / Q000293:injuries / Q000601:surgery*; D058450:Endotamponade; D005131:Eye Injuries / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006068:Gonioscopy; D006801:Humans; D007429:Intraocular Pressure / Q000502:physiology; D019654:Lens Implantation, Intraocular; D033401:Microscopy, Acoustic; D015814:Ocular Hypotension / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D018918:Phacoemulsification; D012590:Sclera / Q000293:injuries / Q000601:surgery*; D013536:Suture Techniques; D014065:Tonometry, Ocular; D014792:Visual Acuity / Q000502:physiology; D014949:Wounds, Nonpenetrating / Q000209:etiology / Q000503:physiopathology / Q000601:surgery