Ciclodiálisis traumática tratada con criopexia

  1. Plaza Ramos, P. 1
  2. Heras Mulero, H.
  3. Molinuevo Ruiz de Zárate, J.I.
  4. Abascal Azanza, C.
  1. 1 Complejo Hospitalario de Navarra
Journal:
Anales del sistema sanitario de Navarra

ISSN: 1137-6627

Year of publication: 2017

Volume: 40

Issue: 2

Pages: 299-302

Type: Article

DOI: 10.23938/ASSN.0023 DIALNET GOOGLE SCHOLAR

More publications in: Anales del sistema sanitario de Navarra

Sustainable development goals

Abstract

Cyclodialysis is the result of the separation of the longitudinal fibres of the ciliary muscle from their scleral insertion, creating states of ocular hypotony. It is mainly caused by traumatisms. Gonioscopy has traditionally been the diagnostic test for this entity, however, at present it is being replaced by other techniques, such as ultrasound biomicroscopy (UBM). We present the case of a 57-year-old male who, following a traumatism in the left eye caused by the disc of a radial saw, presented corneal perforation and vitreous haemorrhage with pan-retinal edema. The gonioscopy was normal in spite of the existence of persistent ocular hypotony. The realization of a UBM enabled diagnosis of a small cyclodialysis of less than ten degrees. Surgical treatment made it possible to recover normal intraocular pressure.

Bibliographic References

  • GONZÁLEZ-MARTÍN-MORO J, CONTRERAS-MARTÍN I, MUÑOZ-NEGRETE FJ, GÓMEZ-SANZ F, ZARALLO-GALLARDO J. Cyclodyalisis: an update. Int Ophthalmol 2016; 36: 1-17.
  • PINHEIRO-COSTA J, BENEVIDES MELO A, MARIA CARNEIRO A, FALCAO-REIS F. Cyclodyalisis cleft traetment using a minimally invasive technique. Ophtalmol 2015; 6: 66-70.
  • IOANNIDIS AS, BARTON K. Cyclodialysis cleft: causes and repair. Curr Opin Ophthalmol 2010; 21: 150-154.
  • AMINLARI A, CALLAHAN CE. Medical, laser, and surgical management of inadvertent cyclodialysis cleft with hypotony. Arch Ophthalmol 2004; 122: 399-404.
  • WANG S, SHUFANG H, ZHENQUAN Z, XIAO T. A novel method for the localization and management of traumatic cyclodialysis cleft. J Ophthalmol 2014; 2014: 761851.
  • IOANNIDIS AS, BUNCE C, BARTON K. The evaluation and surgical management of cyclodialysis clefts that have failed to respond to conservative management. Br J Ophthalmol 2014; 98: 544-549.
  • AGRAWAL P, SHAH P. Long-term outcomes following the surgical repair of traumatic cyclodialysis clefts. Eye 2013; 27: 1347-1352.
  • XU WW, HUANG YF, WANG LQ, ZHANG MN. Cyclopexy versus vitrectomy combined with intraocular tamponade for treatment of cyclodialysis. Int J Ophthalmol 2013; 6: 187-192.
Data source: Dialnet