Surgical repair of large cyclodialysis clefts.
Eur J Ophthalmol
; 27(3): 382-385, 2017 May 11.
Article
em En
| MEDLINE
| ID: mdl-27646330
ABSTRACT
PURPOSE:
To describe a new surgical technique to effectively close large (>180 degrees) cyclodialysis clefts.METHODS:
Our method involves the use of procedures commonly associated with repair of retinal detachment and complex cataract extraction phacoemulsification with placement of a capsular tension ring followed by pars plana vitrectomy and gas tamponade with light cryotherapy. We also used anterior segment optical coherence tomography (OCT) as a noninvasive mechanism to determine the extent of the clefts and compared those results with ultrasound biomicroscopy (UBM) and gonioscopy.RESULTS:
This technique was used to repair large cyclodialysis clefts in 4 eyes. All 4 eyes had resolution of hypotony and improvement of visual acuity. One patient had an intraocular pressure spike requiring further surgical intervention. Anterior segment OCT imaging in all 4 patients showed a more extensive cleft than UBM or gonioscopy.CONCLUSIONS:
This technique is effective in repairing large cyclodialysis clefts. Anterior segment OCT more accurately predicted the extent of each cleft, while UBM and gonioscopy both underestimated the size of the cleft.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Procedimentos Cirúrgicos Oftalmológicos
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Ferimentos não Penetrantes
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Acuidade Visual
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Hipotensão Ocular
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Traumatismos Oculares
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Corpo Ciliar
Tipo de estudo:
Diagnostic_studies
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Etiology_studies
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Prognostic_studies
Limite:
Adolescent
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Adult
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article