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  • Title: Cyclodialysis cleft treatment using a minimally invasive technique.
    Author: Pinheiro-Costa J, Melo AB, Carneiro ÂM, Falcão-Reis F.
    Journal: Case Rep Ophthalmol; 2015; 6(1):66-70. PubMed ID: 25802508.
    Abstract:
    PURPOSE: To report a case of a cyclodialysis cleft that was successfully managed with gas endotamponade and cyclocryotherapy. METHODS: A 37-year-old male victim of a severe blunt ocular trauma was referred to our service for evaluation and treatment of a left eye hypotony. Clinical examination revealed an intraocular pressure of 2 mm Hg, a cyclodialysis cleft extending from the 11 to 1 o'clock positions and a hypotonic maculopathy. Left eye best corrected visual acuity (BCVA) was 3/10. The patient failed to respond to conservative treatment with atropine 1%, so a single bubble of 16% C2F6 was injected into the vitreous cavity, followed by superior quadrant transconjunctival cyclocryotherapy. RESULTS: After gas absorption, the intraocular pressure increased to 11 mm Hg and became steady during the 24 months of follow-up. His hypotonic maculopathy resolved, and the BCVA improved to 9/10. Complete closure of the cyclodialysis cleft was documented with ultrasound biomicroscopy. CONCLUSION: Cryotherapy associated with gas endotamponade is a minimally invasive technique that could be considered for patients with cyclodialysis clefts that fail to respond to medical therapy.
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