This retrospective case series evaluated the long-term visual prognosis and intraocular pressure control following surgical treatment of traumatic cyclodialysis clefts. Cyclodialysis clefts result from the disinsertion of the longitudinal ciliary muscle fibres from the scleral spur and occur as a result of blunt ocular trauma or anterior segment surgery. Clinical data from 17 eyes was included for patients who underwent indirect and / or direct surgical cycloplexy. All eyes had ocular hypotony with optic disc swelling, macular folds or macular oedema. The main outcome measures included intraocular pressure (IOP), best-corrected visual acuity and the occurrence of postoperative complications. Mean age of the patients was 42 years with 16 men and one woman. Preoperatively, the mean IOP was 6.9mmHg (range, 2-14 mmHg) and postoperatively IOP was up to 70mmHg in 13 eyes. The final mean postoperative IOP was 12.2mmHg with no cases of secondary glaucoma or other serious complications. Preoperatively, best corrected visual acuity was 6/12 or better in 24% eyes, which rose to 71% at the final follow-up. The authors conclude that cyclodialysis clefts can be successfully corrected with direct surgical cycloplexy and / or cleft cryotherapy.

Long-term outcomes following the surgical repair of traumatic cyclodialysis clefts.
Agrawal P, Shah P.
2013; 27:1347-52.
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Nana Theodorou

BMedSCi (Hons) PhD, Sheffield Teaching Hospitals NHS Foundation Trust, Clinical Research Office, 11 Broomfield Road, Sheffield, S10 2SE, UK.

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