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Abstract #90357 Published in IGR 21-3

Cyclodialysis cleft repair with goniotomy for the control of post-operative ocular hypertension

Provencher LM; Shah MM
American journal of ophthalmology case reports 2020; 19: 100781


PURPOSE: In this case of iatrogenic cyclodialysis cleft, we describe a technique in which a nasal goniotomy is coupled with indirect cyclodialysis cleft (CDC) repair in order to minimize acute post-operative ocular hypertension, which is common following cyclodialysis cleft closure. OBSERVATIONS: This novel technique was simple, convenient, and effective in controlling intraocular pressure (IOP) for the patient. CONCLUSIONS AND IMPORTANCE: IOP frequently spikes to dangerously high levels following CDC closure. Pairing CDC repair with goniotomy may help prevent acute post-operative ocular hypertension in these patients.

Full article

Classification:

12.11 Cyclodialysis (Part of: 12 Surgical treatment)
12.9 Trabeculotomy, goniotomy (Part of: 12 Surgical treatment)



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