Subject(s)
Duane Retraction Syndrome/physiopathology , Eye Movements/physiology , Oculomotor Muscles/physiopathology , Decompression, Surgical , Diplopia/physiopathology , Duane Retraction Syndrome/diagnosis , Duane Retraction Syndrome/surgery , Female , Humans , Magnetic Resonance Imaging , Middle Aged , Oculomotor Muscles/pathology , Oculomotor Muscles/surgery , Orbit/pathology , Orbit/surgery , Refraction, Ocular , Strabismus/surgery , Vision, BinocularABSTRACT
PURPOSE: To report on the repair of a cyclodialysis cleft by means of endolaser photocoagulation. METHOD: Case report. We describe treatment of a cyclodialysis cleft by means of endolaser photocoagulation with a diode laser. RESULTS: In a 8-year-old boy with pseudophakia and secondary glaucoma in the right eye, combined trabeculectomy/trabeculotomy was performed. Ten months later, the patient was seen with persistent hypotony with a flat filtration bleb. The hypotony was unresponsive to all forms of medical therapy. Reformation of the anterior chamber along with synechialysis revealed a 2.5 clock-hour cyclodialysis cleft by means of gonioscopy. A laser microendoscope probe was used and laser was applied to both the internal scleral and external ciliary body surfaces within the depths of the cleft. Within 3 weeks after treatment, intraocular pressure increased to 15 mm Hg and has remained at that level as of 9 months after the endolaser photocoagulation procedure. CONCLUSION: Endolaser photocoagulation with the ophthalmic laser microendoscope may be an appropriate procedure, after failure of medical therapy, for the diagnosis and repair of a cyclodialysis cleft, especially in the pediatric population.
Subject(s)
Ciliary Body/surgery , Endoscopy , Laser Coagulation , Sclera/surgery , Uveal Diseases/surgery , Child , Ciliary Body/pathology , Glaucoma/etiology , Glaucoma/surgery , Gonioscopy , Humans , Intraocular Pressure , Male , Ocular Hypotension/etiology , Ocular Hypotension/surgery , Pseudophakia/complications , Trabeculectomy/adverse effects , Uveal Diseases/etiologyABSTRACT
Three young children presented with photophobia, epiphora, and torticollis as the initial manifestation of a posterior fossa tumor. In each case there was a delay in treatment due to the presumptive diagnosis of a local ocular inflammatory condition. We recommend that children with unexplained photophobia, epiphora, and torticollis undergo an imaging technique to evaluate the posterior fossa.
