|
KMID : 0360220190600040393
|
|
Journal of the Korean Ophthalmological Society
2019 Volume.60 No. 4 p.393 ~ p.398
|
|
|
Transscleral Cyclopexy Using Partial-Thickness Scleral Flap for Repairing Cyclodialysis Cleft: a Case Report
|
|
Park Han-Seok
Choi Shin-Young
Jang Hae-Dong
Ahn Jae-Hong
|
|
|
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.
|
|
|
KEYWORD
|
|
|
Cyclodialysis, Cyclopexy, Gonioscopy, Hypotonic maculopathy, Traumatic hypotony
|
|
|
FullTexts / Linksout information
|
|
 
|
|
|
Listed journal information
|
|
  
|