Cyclodialysis cleft repair with goniotomy for the control of post-operative ocular hypertension

• Main Authors: Lorraine M. Provencher, Manjool M. Shah
• Format: Article
• Language: English
• Published: Elsevier 2020-09-01
• Series: American Journal of Ophthalmology Case Reports
• Subjects: Cyclodialysis cleft; Ocular hypertension; Glaucoma; Minimally invasive glaucoma surgery; MIGS
• Online Access: http://www.sciencedirect.com/science/article/pii/S2451993619301987

Purpose: In this case of iatrogenic cyclodialysis cleft, we describe a technique in which a nasal goniotomy is coupled with indirect cyclodialysis cleft (CDC) repair in order to minimize acute post-operative ocular hypertension, which is common following cyclodialysis cleft closure. Observations: This novel technique was simple, convenient, and effective in controlling intraocular pressure (IOP) for the patient. Conclusions and importance: IOP frequently spikes to dangerously high levels following CDC closure. Pairing CDC repair with goniotomy may help prevent acute post-operative ocular hypertension in these patients.