| Transscleral Cyclopexy Using Partial-Thickness Scleral Flap for Repairing Cyclodialysis Cleft: a Case Report. |
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Han Seok Park, Shin Young Choi, Hyo Ju Jang, Jae Hong Ahn |
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Department of Ophthalmology, Ajou University School of Medicine, Suwon, Korea. chrisahn@ajou.ac.kr |
| 외상섬모체해리에서 시행한 부분 공막편을 이용한 경공막 섬모체유착술 1예 |
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박한석⋅최신영⋅장효주⋅안재홍 |
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아주대학교 의과대학 안과학교실 |
Correspondence:
Jae Hong Ahn,
Email: chrisahn@ajou.ac.kr
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Received: 11 October 2018 • Revised: 22 November 2018 • Accepted: 18 March 2019 |
| 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. |
| Key Words:
Cyclodialysis;Cyclopexy;Gonioscopy;Hypotonic maculopathy;Traumatic hypotony |
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