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Ultrasonic biomicroscopic evaluation of cyclodialysis before and after direct cyclopexy

Cited 27 time in Web of Science Cited 35 time in Scopus
Issue Date
2008-09-10
Publisher
American Medical Association
Citation
Arch Ophthalmol. 2008;126(9):1222-1225
Keywords
AdolescentAdultCiliary Body/injuries/surgery/*ultrasonographyEye Injuries/surgery/*ultrasonographyFemaleGonioscopyHumansIntraocular PressureMaleMicroscopy, AcousticMiddle AgedOcular Hypotension/diagnosisOphthalmologic Surgical ProceduresRuptureSclera/injuries/surgery/*ultrasonographyUveal Diseases/surgery/*ultrasonographyVisual AcuityCryosurgery
Abstract
OBJECTIVES: To investigate the clinical manifestations and surgical prognoses after direct cyclopexy in patients with traumatic cyclodialysis according to the cleft extent as determined by ultrasound biomicroscopy (UBM). METHODS: A detailed ophthalmologic examination, which included gonioscopy and UBM, was performed before and after direct cyclopexy in 32 eyes of 31 patients with traumatic cyclodialysis clefts. RESULTS: Cyclodialysis clefts were accurately diagnosed and delineated in all 32 eyes using UBM. Cyclodialysis resulted in hypotony with a mean intraocular pressure of 3.2 mm Hg irrespective of cleft size. On A-scan ultrasonography, mean (SD) preoperative and postoperative lens thicknesses were 4.4 (0.4) mm (range, 3.71-4.92 mm) and 4.1 (0.4) mm (range, 3.42-4.57 mm), respectively, and mean (SD) preoperative and postoperative axial lengths were 23.2 (0.7) mm (range, 21.91-24.57 mm) and 23.6 (0.7) mm (range, 22.47-24.56 mm), respectively. The larger a cleft was, the longer it took for a postoperatively elevated intraocular pressure to normalize after direct cyclopexy. Postoperative visual acuities were significantly better than preoperative values, even when direct cyclopexy was performed 54 months after trauma. CONCLUSIONS: Even small clefts usually resulted in hypotony and visual prognosis was better after cyclopexy, even in cases with a protracted history. Larger clefts need longer postoperative follow-up to check for intraocular pressure normalization after direct cyclopexy.
ISSN
1538-3601 (Electronic)
Language
English
URI
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=18779481

http://archopht.ama-assn.org/cgi/reprint/126/9/1222.pdf

https://hdl.handle.net/10371/68203
DOI
https://doi.org/10.1001/archopht.126.9.1222
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College of Medicine/School of Medicine (의과대학/대학원)Ophthalmology (안과학전공)Journal Papers (저널논문_안과학전공)
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