A Novel Method for the Localization and Management of Traumatic Cyclodialysis CleftReport as inadecuate




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Journal of Ophthalmology - Volume 2014 2014, Article ID 761851, 5 pages -

Clinical Study

Eye Hospital at Wenzhou, Wenzhou Medical College, 270 West Xueyuan Road, Wenzhou, Zhejiang 325027, China

Eye Hospital at Hangzhou, Wenzhou Medical College, 618 East Fengqi Road, Hangzhou, Zhejiang 310020, China

Received 16 October 2013; Accepted 30 December 2013; Published 11 March 2014

Academic Editor: Pierre Lachapelle

Copyright © 2014 Mingling Wang et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose. To propose a novel surgical method for the localization and management of traumatic cyclodialysis clefts. Methods. Five patients with traumatic cyclodialysis clefts who underwent the innovative surgery were retrospectively reviewed. The new method was introduced to repair a cyclodialysis cleft with two running sutures from the middle to each end of the cleft under the guidance of a probe. Preoperative and postoperative visual acuity VA, intraocular pressure IOP, slit lamp and gonioscopic results, ultrasound biomicroscopy UBM, and optical coherence tomography OCT findings were recorded. Results. Cyclodialysis clefts were completely closed postoperatively in four patients four eyes; this was confirmed by progressively improved VA, restoration into the normal range of the IOP, disappearance of suprachoroidal fluid, and reduced macular edema. Only one patient with multiple clefts had an incomplete reattachment. Conclusions. This clinical study offers a novel and efficient method to localize and repair the cyclodialysis clefts.





Author: Mingling Wang, Shufang Hu, Zhenquan Zhao, and Tianlin Xiao

Source: https://www.hindawi.com/



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