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  • Title: Severe pupil distortion following transchamber repair of a cyclodialysis cleft.
    Author: Nichols JC, Lee DH, Feman SS, Shields SR.
    Journal: Ophthalmic Surg Lasers; 2002; 33(5):426-9. PubMed ID: 12358298.
    Abstract:
    This report describes a potential complication following the repair of a traumatic cyclodialysis cleft in a pediatric patient using a novel technique. A healthy 11-year-old boy suffered a blunt traumatic tennis ball injury to his left eye. He underwent repair of a retinal dialysis with detachment shortly after the injury. Postoperatively, he developed persistent hypotony, shallow anterior chamber, and hypotony maculopathy. An occult cyclodialysis cleft was suspected. Examination under anesthesia revealed a small cyclodialysis deft. The cleft was closed by transchamber placement of prolene sutures across the cleft under direct visualization through a Tano lens. Postoperative course was complicated by severe pupillary distortion despite subsequent suture removal.
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