Traumatic cyclodyalisis treated with cryopexy
DOI:
https://doi.org/10.23938/ASSN.0023Keywords:
Cyclodialisis. Cryopexy. Ultrasound biomicroscopy. Hypotony.Abstract
Cyclodialysis is the result of the separation of the longitudinal fibres of the ciliary muscle from their scleral insertion, creating states of ocular hypotony. It is mainly caused by traumatisms. Gonioscopy has traditionally been the diagnostic test for this entity, however, at present it is being replaced by other techniques, such as ultrasound biomicroscopy (UBM). We present the case of a 57-year-old male who, following a traumatism in the left eye caused by the disc of a radial saw, presented corneal perforation and vitreous haemorrhage with pan-retinal edema. The gonioscopy was normal in spite of the existence of persistent ocular hypotony. The realization of a UBM enabled diagnosis of a small cyclodialysis of less than ten degrees. Surgical treatment made it possible to recover normal intraocular pressure.
Downloads
References
GONZÁLEZ-MARTÍN-MORO J, CONTRERAS-MARTÍN I, MUÑOZ-NEGRETE FJ, GÓMEZ-SANZ F, ZARALLO-GALLARDO J. Cyclodyalisis: an update. Int Ophthalmol 2016; 36: 1-17.
PINHEIRO-COSTA J, BENEVIDES MELO A, MARIA CARNEIRO A, FALCAO-REIS F. Cyclodyalisis cleft traetment using a minimally invasive technique. Ophtalmol 2015; 6: 66-70.
IOANNIDIS AS, BARTON K. Cyclodialysis cleft: causes and repair. Curr Opin Ophthalmol 2010; 21: 150-154.
AMINLARI A, CALLAHAN CE. Medical, laser, and surgical management of inadvertent cyclodialysis cleft with hypotony. Arch Ophthalmol 2004; 122: 399-404.
WANG S, SHUFANG H, ZHENQUAN Z, XIAO T. A novel method for the localization and management of traumatic cyclodialysis cleft. J Ophthalmol 2014; 2014: 761851.
IOANNIDIS AS, BUNCE C, BARTON K. The evaluation and surgical management of cyclodialysis clefts that have failed to respond to conservative management. Br J Ophthalmol 2014; 98: 544-549.
AGRAWAL P, SHAH P. Long-term outcomes following the surgical repair of traumatic cyclodialysis clefts. Eye 2013; 27: 1347-1352.
XU WW, HUANG YF, WANG LQ, ZHANG MN. Cyclopexy versus vitrectomy combined with intraocular tamponade for treatment of cyclodialysis. Int J Ophthalmol 2013; 6: 187-192.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2017 Anales del Sistema Sanitario de Navarra
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
La revista Anales del Sistema Sanitario de Navarra es publicada por el Departamento de Salud del Gobierno de Navarra (España), quien conserva los derechos patrimoniales (copyright ) sobre el artículo publicado y favorece y permite la difusión del mismo bajo licencia Creative Commons Reconocimiento-CompartirIgual 4.0 Internacional (CC BY-SA 4.0). Esta licencia permite copiar, usar, difundir, transmitir y exponer públicamente el artículo, siempre que siempre que se cite la autoría y la publicación inicial en Anales del Sistema Sanitario de Navarra, y se distinga la existencia de esta licencia de uso.
