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

• Main Authors: Aquino, M. (Author), Chew, P. (Author), Koh, V. (Author), Lim, D. (Author), Teoh, C. (Author)
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2022
• Subjects: Cyclodialysis cleft; direct cyclopexy; glaucoma
• Online Access: View Fulltext in Publisher

 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. © 2022 Wolters Kluwer Medknow Publications. All rights reserved.