advertisement
Abstract #15593 Published in IGR 1-3
Treatment of a cyclodialysis cleft by means of ophthalmic laser microendoscope endophotocoagulation
Caronia RM; Sturm RT; Marmor MA; Berke SJAmerican Journal of Ophthalmology 1999; 128: 760-761
PURPOSE: To report on the repair of a cyclodialysis cleft by means of endolaser photocoagulation. METHOD: Case report. The authors describe treatment of a cyclodialysis cleft by means of endolaser photocoagulation with a diode laser. RESULTS: In an eight-year-old boy with pseudophakia and secondary glaucoma in the right eye, combined trabeculectomy/trabeculotomy was performed. Ten months later, the patient was seen with persistent hypotony with a flat filtration bleb. The hypotony was unresponsive to all forms of medical therapy. Reformation of the anterior chamber along with synechialysis revealed a 2.5 clock-hour cyclodialysis cleft by means of gonioscopy. A laser microendoscope probe was used and laser was applied to both the internal scleral and external ciliary body surfaces within the depths of the cleft. Within three weeks after treatment, intraocular pressure increased to 15 mmHg and has remained at that level as of nine months after the endolaser photocoagulation procedure. CONCLUSION: Endolaser photocoagulation with the ophthalmic laser microendoscope may be an appropriate procedure, after failure of medical therapy, for the diagnosis and repair of a cyclodialysis cleft, especially in the pediatric population.
Dr. R.M. Caronia, Department of Ophthalmology, Long Island Jewish Medical Center, New Hyde Park, New York, NY; USA
Classification:
12.8.11 Complications, endophthalmitis (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
