Use of anterior segment imaging and direct cyclopexy repair of cyclodialysis cleft

Chin Sheng Teoh; Maria Cecilia Aquino; Dawn K Lim; Paul Chew; Victor Koh

doi:10.4103/tjo.tjo_24_21

Use of anterior segment imaging and direct cyclopexy repair of cyclodialysis cleft

Taiwan J Ophthalmol. 2021 Aug 17;12(2):213-218. doi: 10.4103/tjo.tjo_24_21. eCollection 2022 Apr-Jun.

Authors

Chin Sheng Teoh¹, Maria Cecilia Aquino¹, Dawn K Lim¹, Paul Chew¹, Victor Koh¹

Affiliation

¹ Department of Ophthalmology, National University Hospital of Singapore, Singapore.

Abstract

We aim to describe different imaging modalities to localize cyclodialysis clefts and direct cyclopexy repair of cyclodialysis clefts. We reviewed the record of a patient with traumatic cyclodialysis cleft who underwent direct cyclopexy retrospectively. Preoperative and postoperative visual acuity and intraocular pressure (IOP) were recorded. Gonioscopy, ultrasound biomicroscopy (UBM) and 360° swept-source anterior segment optical coherence tomography (SS-ASOCT) were used to localize the cyclodialysis cleft. We concluded that UBM is the current gold standard imaging modality in localization of cyclodialysis clefts, and that SS-ASOCT is potentially useful as alternative imaging modality. Direct cyclopexy is an effective treatment for large cyclodialysis cleft with good IOP control and visual outcomes.

Keywords: Cyclodialysis cleft; direct cyclopexy; glaucoma.

Publication types

Case Reports