Posters

Direct cyclopexy for postraumatic cyclodyalisis: clinical characteristics and outcomes

Poster Details

First Author: E.Carrillo Haro MEXICO

Co Author(s):    Y. Azses-Halabe   J. Gamiochipi-Arjona   A. García-Albisua   C. Del Hierro-Gutierrez   N. Davila-Avila   J. Jiménez-Roman     

Abstract Details

Purpose:

To describe the demographic, clinical characteristics and clinical outcomes of patients with cyclodyalisis associated clinical hypotony, who were treated with direct cyclopexy at a third level glaucoma clinic.

Setting:

Asociación para evitar la ceguera en México IAP. Mexico City, Mexico

Methods:

Retrospective cohort. We analyzed clinical records of all patients with the diagnosis of cyclodyalisis cleft over a 5 years period, who were treated with direct cyclpoexy. Demographic characteristics, clinical characteristics, medical treatment outcomes and surgical outcome were recorded. To compare presurgical and postsurgical results we used a t-paired test. Differences in the extent of the cleft with clinical vs UBM examination were compared using chi-square test. To correlate postsurgical Intraocular pressure (IOP) with time from trauma to surgery we used Spearman correlation as those were non parametric variables, for the rest of the correlations, a paired Wilcoxon test was used.

Results:

We included 23 eyes of 23 patients. Mean age was 43.88±15.29 years, 91.6% were men. All patients were treated with direct cyclopexy (primary or after medical treatment failure). Mean cyclodialysis cleft extent was 4.54±3.68 meridians measured clinically and 5.37±3.36 by UBM. Mean number of surgical ciclopexies needed to achieve success were 2. Mean IOP at last postsurgical visit was 8.25±5.88 (P=0.003). We found presence of IOP spikes in 14 (58.33%) patients. Statistically significant improvement in the mean visual acuity after surgery (P=0.001). The extension of the cleft had moderate correlation with presurgical (r=0.39, p=0.061) and post surgical IOP (r=0.43, p=0.04).

Conclusions:

This cohort represent one of the largest one reported. Direct cyclopexy offers great results for the treatment of cyclodyalisis clefts. A correct delimitation of the extent of the cleft is vital to create a good surgical plan and avoid several reinterventions. The routine use of UBM might help in this scenario. Interestingly we found no association between the extent of de cyclodyalisis celft and the time of presentation to surgical closure, implying that patients with chronic hypotony secondary to cyclodyalisis, might have a good visual prognosis.

Financial Disclosure:

None