Novel surgical management of cyclodialysis cleft via anterior chamber perfusion

摘要: Rationale Cyclodialysis cleft is a relatively rare but severe condition with persistent ocular hypotony, which can cause morphologic changes and visual loss. Here we report case of traumatic cyclodialysis that was successfully managed direct cyclopexy via anterior chamber perfusion. During the operation, if there aqueous humor flowing out deep scleral incision, not closed, surgery should continue until no outflow. Patient concerns A 66-year-old man treated for blunt trauma left eye resultant cleft, lens subluxation, choroidal detachment cataract. His intraocular pressure 6 mm Hg, he presented shallow chamber, phacodonesis, iridodonesis, 360° ciliary body detachment, suspicious in 5 to 8 o'clock position. DIAGNOSES:: (left eye), subluxation cataract (both eyes). Interventions The extracted by phacoemulsification posterior implanted 2 capsular tension rings, one bag other sulcus. Throughout following month, fluctuated between 4 Hg failed reattach. perfusion thus deemed necessary performed. Outcomes After cyclopexy, increased 27 decreased 16 after brinzolamide drops treatment twice daily days. Subsequently stabilized 10 21mm Hg. Complete closure confirmed ultrasound biomicroscopy. Lessons Cyclopexy patients simple, safe, efficient technique ensures successful surgery.