International Review of Ophthalmology

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Selection of methods for surgical therapy of cyclodialysis cleft

Lan Lina, Chen Jiahui, Jiang Yongxiang   

  1. Department of Ophthalmology, Eye and ENT Hospital of Fudan University, NHC Key Laboratory of Myopia (Fudan University), Key Laboratory of Myopia, Chinese Academy of Medical Sciences; Key Laboratory of Visual Impairment and Restoration of Shanghai, Shanghai 200031, China
  • Received:2019-11-13 Online:2020-06-22 Published:2020-06-22
  • Contact: Jiang Yongxiang, Email: yongxiang_jiang@163.com
  • Supported by:
    Shanghai Science and Technology Commission Scientific Innovation Action Plan (18411965200); National Natural Science Foundation of China (81770908); National Key Research and Development Program (2018YFC0116000)

Abstract: Cyclodialysis cleft is usually treated with medical management, argon laser photocoagulation or surgical procedure. The earliest and most frequently used therapy to eliminate cyclodialysis is direct cyclopexy. Direct cyclopexy and indirect cyclopexy can be used for treating cyclodialysis without comorbidities. However, cyclodialysis is frequently accompanied with vitreoretinopathy, lens subluxation and cataract, which require secondary surgery after cyclopexy. It is critical to combined suitable surgical methods in these situations. For example, vitrectomy, cryotherapy, gas endotamponade and scleral buckling can be adopted when combined with vitreoretinopathy. Insertion of a capsular tension ring or modified capsular tension ring in the capsule bag and implantation of intraocular lens can be used when combined with lens subluxation. Combined surgery should be selected according to other situations of cyclodialysis cleft. (Int Rev Ophthalmol, 2020, 44:176-181)