Transscleral Cyclopexy Using Partial-Thickness Scleral Flap for Repairing Cyclodialysis Cleft: a Case Report
Journal of the Korean Ophthalmological Society
; : 393-398, 2019.
Article
in Ko
| WPRIM
| ID: wpr-738615
Responsible library:
WPRO
ABSTRACT
PURPOSE: To report a case of a cyclodialysis cleft that was successfully managed with gonioscopically guided transscleral cyclopexy using partial-thickness scleral flap. CASE SUMMARY: A 44-year-old man complaining of blurred vision in the left eye after blunt trauma was referred to our hospital. The intraocular pressure (IOP) was 4 mmHg and the visual acuity was counting finger. Gonioscopy examination revealed cyclodialysis cleft from 3 to 6 o'clock and fundus examination revealed macular folds. After the failure of conservative medical therapy and laser photocoagulation, gonioscopically guided transscleral cyclopexy using partial-thickness scleral flap was performed. Four months later, the IOP was 18 mmHg, the visual acuity was 0.8, and fundus examination showed the disappearance of the macular folds. CONCLUSIONS: Transscleral cyclopexy using partial-thickness scleral flap is a safe and effective method to treat hypotony maculopathy due to cyclodialysis and to minimize pupil distortion.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Visual Acuity
/
Pupil
/
Fingers
/
Gonioscopy
/
Intraocular Pressure
/
Light Coagulation
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Methods
Limits:
Adult
/
Humans
Language:
Ko
Journal:
Journal of the Korean Ophthalmological Society
Year:
2019
Type:
Article