Transscleral Cyclopexy Using Partial-Thickness Scleral Flap for Repairing Cyclodialysis Cleft: a Case Report
10.3341/jkos.2019.60.4.393
- Author:
Han Seok PARK
1
;
Shin Young CHOI
;
Hyo Ju JANG
;
Jae Hong AHN
Author Information
1. Department of Ophthalmology, Ajou University School of Medicine, Suwon, Korea. chrisahn@ajou.ac.kr
- Publication Type:Case Report
- Keywords:
Cyclodialysis;
Cyclopexy;
Gonioscopy;
Hypotonic maculopathy;
Traumatic hypotony
- MeSH:
Adult;
Fingers;
Gonioscopy;
Humans;
Intraocular Pressure;
Light Coagulation;
Methods;
Pupil;
Visual Acuity
- From:Journal of the Korean Ophthalmological Society
2019;60(4):393-398
- CountryRepublic of Korea
- Language:Korean
-
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.
