Posters

Management of cyclodialysis secondary to complicated cataract surgery

Poster Details

First Author: F.Trejo SPAIN

Co Author(s):    M. Castany   X. Garrell   A. David   B. Sandra           

Abstract Details

Purpose:

To present how a iatrogenic cyclodialysis after a complicated cataract surgery with developement of hypotonic maculopathy was succesfully managed at our center, with angle argón photocoagulation.

Setting:

Cyclodialysis is the separation of the longitudinal ciliary body muscular fibers from their attachment to the sclera, creating a communication between the anterior chamber and the suprachoroidal space, generating ocular hypothony. It usually occurs secondary to blunt trauma, but it has also been described to occur during a surgical intervention.

Methods:

After the caratact surgery the patient was followed up and he underwent Slit Lamp Biomicroscopy, fundus ophthalmoscopy, angle gonioscopy, optic nerve and macular OCT and argon laser photocoagulation.

Results:

Months after the cataract surgery the patient presented low IOP levels and macular choroidal folds. A 3 hours cyclodialysis cleft was found during the gonioscopy examination. Since the IOP levels didn’t recover after a several week long atropine eye drops treatment, an argon laser photocoagulation of the cleft was performed. At 1 week after the procedure, the IOP levels had recovered back to normal and the choroidal folds had fadded

Conclusions:

After failure of conservative messures, angle argon photocoagulation is an easy quick way to restore normal IOP levels by closing the cyclodialysis clef, as it is well described in the literature.

Financial Disclosure:

None