Combined sewing machine technique cyclopexy With transscleral diode cyclophotocoagulation for complete posttraumatic cyclodialysis

Purpose To describe an alternative technique used in massive post-traumatic cyclodialysis. Classic techniques such as direct cyclopexy are performed ab externo and entail a higher risk of endophthalmitis or ciliary body hemorrhage. Therefore we present a case report using combined sewing machine technique cyclopexy with transscleral diode cyclophotocoagulation for complete post-traumatic cyclodialysis. Patients Our patient is a 43-year-old woman who suffered a blunt trauma 9 months ago from an air-bag blunt in a car accident. Methods Technique report. Results Two weeks post-surgery, there has been an elevation in intraocular pressure (IOP), and the cyclodialysis has been resolved. Additionally, signs of macular hypotony, such as optic nerve head edema and vascular tortuosity, have disappeared. As anticipated, the disappearance of chorioretinal folds occurred later but has also been observed. Furthermore, the best corrected visual acuity has been improved and the induced hyperopia has been corrected from +5 (−1.75 × 20°) to +1.5 (−1.75 × 20°). Conclusions Combined sewing machine technique cyclopexy with transscleral diode cyclophotocoagulation for complete post-traumatic cyclodialysis could be an alternative surgical improvement to both direct and indirect cyclopexy. It entails fewer complications, such as endophthalmitis, and offers favorable aesthetic outcomes along with enhanced intraoperative visualization.

• Publication year

  2024

• Venue

  European Journal of Ophthalmology

• Publication date

  2024-11-18

• Fields of study

  Medicine

• Identifiers
  DOI 10.1177/11206721241298024PMID 39552429
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar, PubMed

• No claims are published for this paper.

• No concepts are published for this paper.

• Single-suture single-knot ab interno cyclopexy for extensive posttraumatic cyclodialysis: Modified sewing machine technique.

  2019cited by this paper
• Hypotony maculopathy: a surgeon’s nightmare

  2019cited by this paper
• Novel technique for traumatic cyclodialysis repair with phacoemulsification and Cionni's ring implantation

  2019cited by this paper
• The Probable Mechanism of Traumatic Angle Recession and Cyclodialysis

  2019cited by this paper
• Ocular hypotony: A comprehensive review.

  2019cited by this paper
• One-step management of post-traumatic triple dialysis using two rings

  2018cited by this paper
• Cionni-modified capsular tension ring for surgical repair of cyclodialysis after trabeculectomy: a case report

  2017cited by this paper
• Traumatic cyclodialysis treated with transscleral ciclodiode laser: Anterior and posterior segment evolution.

  2017cited by this paper
• Ciclodiálisis traumática tratada con láser ciclodiodo transescleral: evolución de la exploración del segmento anterior y posterior

  2017cited by this paper
• The evaluation and surgical management of cyclodialysis clefts that have failed to respond to conservative management

  2014cited by this paper
• Indirect cyclopexy for treatment of a chronic traumatic cyclodialysis cleft with hypotony

  2014cited by this paper
• Cyclopexy versus vitrectomy combined with intraocular tamponade for treatment of cyclodialysis.

  2013cited by this paper
• Cyclodialysis cleft: causes and repair

  2010cited by this paper
• Cryotherapy in the treatment of cyclodialysis cleft induced hypotony.

  2009cited by this paper
• Closure of persistent cyclodialysis cleft using the haptics of the intraocular lens.

  2006cited by this paper
• Transscleral diode laser therapy for cyclodialysis cleft induced hypotony

  2005cited by this paper
• Treatment of traumatic cyclodialysis with vitrectomy, cryotherapy, and gas endotamponade.

  1999cited by this paper
• Transscleral diode laser therapy for traumatic cyclodialysis cleft.

  1997cited by this paper
• Management of the hypotonous cyclodialysis cleft.

  1991cited by this paper
• Management of persistent hypotony after planned or inadvertent cyclodialysis.

  1971cited by this paper
• On hypotony following cyclodialysis and its treatment.

  1952cited by this paper

• No citing papers are available for this paper.