Diagnosis and management of traumatic cyclodialysis cleft

  • MALANDRINI A
  • BALESTRAZZI A
  • MARTONE G
  • TOSI GM
  • CAPOROSSI A
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Publication date
January 2008
Publisher
Elsevier BV
ISSN
0886-3350
Citation count (estimate)
19

Abstract

A 48-year-old man presented with hyphema, iridocyclitis, iridophacodonesis, and maculopathy after a contusive trauma. Ultrasound biomicroscopy identified a 90-degree cyclodialysis cleft with severe damage of the zonular fibers. Echographic B-scan examination revealed intravitreal hemorrhage and a 360-degree choroidal detachment. One month later, phacoemulsification was performed and a single-piece poly(methyl methacrylate) intraocular lens was inserted into the ciliary sulcus, with the haptic rotated toward the cyclodialysis cleft area. Postoperatively, the visual acuity improved and the intraocular pressure returned to normal. Ultrasound biomicroscopy showed closure of the cleft by reattachment of the ciliary body to the scleral spur. Opti...

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