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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Medeiros, M. Dutra Postorino, Maurizio Pallás, Carolina Salinas, Cecilia Mateo, Carlos Garcia-Arumí, J. Corcóstegui, Borja |
| Description | Country affiliation: Spain Author Affiliation: Medeiros MD ( Instituto de Microcirugia Ocular, Barcelona, Spain. marcodutramedeiros@gmail.com) |
| Abstract | PURPOSE: To report novel surgical approaches to the management of persistent hypotony after cyclodialysis. METHODS: Retrospective review of the medical records of six eyes of six patients with persistent hypotony after traumatic cyclodialysis. The diagnosis accuracy of cyclodialysis was documented by ultrasound biomicroscopy in five patients. The other one underwent an anterior segment optical coherence tomography. The authors performed pars plana vitrectomy and silicone oil-assisted endotamponade in four patients. The remaining eyes underwent a gas tamponade after pars plana vitrectomy. RESULTS: Preoperative visual acuity (Snellen scale) ranged from count fingers to 20/50. The patients' visual acuity improved after the surgery. The intraocular pressure ranged from 2 mmHg to 6 mmHg (mean, 3.33 mmHg) before surgery. The authors did achieve an intraocular pressure normalization postoperatively. After surgery, the ciliary body was completely reattached in all cases. A slight angle recession was documented in one eye. CONCLUSION: The management of cyclodialysis clefts requires a stepwise approach. In cases where conservative management fails, wide ranges of options have been reported. Based on our results, we consider that silicone oil-assisted or gas-assisted endotamponade, after pars plana vitrectomy, can be an effective alternative approach to the cyclodialysis. |
| File Format | HTM / HTML |
| ISSN | 0275004X |
| Issue Number | 8 |
| Volume Number | 33 |
| e-ISSN | 15392864 |
| Journal | Retina |
| Language | English |
| Publisher | Lippincott Williams & Wilkins |
| Publisher Date | 2013-09-01 |
| Publisher Place | United States |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Ophthalmology Ciliary Body Injuries Endotamponade Eye Injuries Etiology Ocular Hypotension Surgery Vitrectomy Wounds, Nonpenetrating Adult Aged Cataract Extraction Adverse Effects Female Humans Intraocular Pressure Physiology Lens Implantation, Intraocular Male Middle Aged Retrospective Studies Silicone Oils Administration & Dosage Tomography, Optical Coherence Visual Acuity Young Adult Case Reports Journal Article |
| Content Type | Text |
| Resource Type | Case study Article |
| Subject | Ophthalmology |
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