Abstract:

【Abstract】 Objective To investigate the causes of unsuccessful surgical approach in traumatic cyclodialysis. Design Retrospective cases series. Participants 55 cases (55 eyes) of cyclodialysis underwent at least one time unsuccessful cyclopexy from 2002 March to 2014 July. Methods The clefts were confirmed with ultrasonic biological microscopy (UBM). According to the previous operation records, preoperative examinations and the findings of the re-surgical procedures, causes of surgical failure were classified into 4 groups: suturing with wider apart, inadequate cover of the cleft, uncorrected suturing site and pseudo-suturing. Failure rates in different hospitals performed surgery were also compared. Main Outcome Measures The constituent ratio of unsuccessful causes of cyclopexy. Results There were 73 eyes suffered from deferent failure cases. In all failure 73 eyes, 23 eyes (31.5%) were suturing with wider apart, 22 eyes (30.1%) inadequate cover of the cleft, 15 eyes (20.6%) wrong suturing site, and 13 eyes (17.8%) pseudo-suturing. The number of eyes with wrong suturing site between Beijing Tongren Hospital group and other hospital group were 1 eye (4.1%), 14 eyes (28.6%) (P=0.01). The number of eyes with pseudo-suturing between Beijing Tongren Hospital group and other hospital group were 8 eye (33.3%), 5 eyes (10.2%) (P=0.02). In all 55 cases, 54 cases (98.2%) presented hypotension, and 32 cases (58.2%) presented shallow anterior chamber. Conclusions Major causes of unsuccessful cyclopexy in traumatic cyclodialysis include suturing with wider apart, inadequate cover of the cleft, unsuccessful suturing site and pseudo-suturing. Wrong suturing site is a predominant concern in cases from primary ophthalmic units. ?(Ophthalmol CHN, 2015, 24: 246-249)