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Abstract #92722 Published in IGR 22-1
Temporary Ab Interno Suture Cyclopexy For Closing a Cyclodialysis Cleft During Cataract Surgery
Masket SJournal of Cataract and Refractive Surgery 2021; 47: 1369-1371
Cyclodialysis clefts are often associated with ocular hypotony and attendant maculopathy. However, these clefts create an alternative aqueous outflow pathway that can be useful to maintain IOP at physiologic levels under some conditions. At normal levels of IOP they may prevent glaucoma damage and avoid maculopathy of hypotony. Indeed, historically cyclodialysis was a planned surgical method for managing glaucoma, and more recently a MIGS device that created a small stented cyclodialysis was in use until removed from the market for unrelated concerns. Cataract surgery in the presence of a cleft, however, may be complicated by extensive fluid misdirection through the cleft with resultant large suprachoroidal effusion. A technique of ab interno temporary suture cyclopexy was devised for a patient needing cataract surgery with an existing traumatic cyclodialysis cleft that was vital for long-term management of IOP. The suture was used to close the cleft transiently during surgery and was removed at the close of the procedure in order to re-establish patency and preserve the cleft.
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Classification:
12.11 Cyclodialysis (Part of: 12 Surgical treatment)
12.12.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.12 Cataract extraction)