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Closure of a Persistent Cyclodialysis Cleft Using the Haptics of a Normal-sized Intraocular Lens

Overview
Journal BMJ Case Rep
Specialty General Medicine
Date 2012 Jun 8
PMID 22673716
Citations 8
Authors
Xingchao Shentu
Yanan Zhu
Yelei Tang
Affiliations
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Abstract

A 50-year-old man suffering from hypotony in the right eye caused by a traumatic cyclodialysis and complicated by a choroidal detachment and cataract was treated in our clinic. After an unsuccessful direct cyclopexy, phacoemulsification was performed and a normal-sized single-piece polymethyl methacrylate posterior chamber intraocular lens (PMMA PCIOL) was inserted into the ciliary sulcus, with the haptic rotated toward the cyclodialysis cleft. Postoperatively, the corrected visual acuity improved to 20/20, and the intraocular pressure returned to normal. Ultrasound biomicroscopy showed the closure of the cleft. Phacoemulsification with a normal-sized PMMA PCIOL inserted into the ciliary sulcus is a safe, effective and technically simple surgical treatment for small cyclodialysis induced hypotony complicated by cataract. Internal compression of the cleft by the haptic of a normal sized IOL along with postoperative inflammation led to scarring and closure of the cleft.

Citing Articles

Effect of Different Preoperative Intraocular Pressures on the Prognosis of Traumatic Cyclodialysis Cleft Associated with Lens Subluxation.

Ning L, Wen Y, Lan L, Yang Y, Chen T, Chen Z Ophthalmol Ther. 2022; 11(2):689-699.

PMID: 35107814 PMC: 8808273. DOI: 10.1007/s40123-022-00468-0.

Placement of dual capsular tension rings for the combined management of traumatic cyclodialysis cleft and zonular dialysis.

Chen J, Lan L, Tang Y, Lu Y, Jiang Y Eye Vis (Lond). 2020; 7(1):54.

PMID: 33292678 PMC: 7681948. DOI: 10.1186/s40662-020-00219-x.

Concurrent Phacoemulsification and Encircling for Hypotony Maculopathy after Blunt Trauma.

Baba T, Yokouchi H, Yamamoto S Case Rep Med. 2020; 2020:6594170.

PMID: 32454836 PMC: 7240647. DOI: 10.1155/2020/6594170.

Novel technique for traumatic cyclodialysis repair with phacoemulsification and Cionni's ring implantation.

Sen A, Joshi R, Kashikar R, Jain T Indian J Ophthalmol. 2019; 67(10):1748-1750.

PMID: 31546552 PMC: 6786165. DOI: 10.4103/ijo.IJO_394_19.

Cyclodialysis cleft repair and cataract management by phacoemulsification combined with internal tamponade using modified capsular tension ring insertion.

Chen J, Jing Q, Gao W, Zhang M, Ji Y, Chen J Graefes Arch Clin Exp Ophthalmol. 2018; 256(12):2369-2376.

PMID: 30267206 PMC: 6224016. DOI: 10.1007/s00417-018-4149-8.

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