Diagnosis and management of iatrogenic trochar-induced cyclodialysis cleft with intraoperative gonioscopy and argon endolaser.
Cleft repair
Cyclodialysis cleft
Endolaser
Iatrogenic complication
Journal
American journal of ophthalmology case reports
ISSN: 2451-9936
Titre abrégé: Am J Ophthalmol Case Rep
Pays: United States
ID NLM: 101679941
Informations de publication
Date de publication:
Sep 2022
Sep 2022
Historique:
received:
15
04
2022
revised:
27
06
2022
accepted:
29
06
2022
entrez:
18
7
2022
pubmed:
19
7
2022
medline:
19
7
2022
Statut:
epublish
Résumé
To report a case of iatrogenic vitrectomy trochar-induced cyclodialysis cleft successfully treated with intraoperative argon endolaser. A 68-year-old Caucasian male with a history of high myopia underwent pars plana vitrectomy to clear symptomatic vitreous opacities but developed early postoperative hypotony that was recalcitrant to medical management for the first 6 postoperative months. Intraoperative gonioscopy demonstrated a cyclodialysis cleft and argon endolaser was applied to close the cleft. Endolaser is an effective treatment for cyclodialysis clefts and intraoperative gonioscopy allows direct visualization of the cleft in a controlled operating room setting. Placement of vitrectomy ports should be done with care in high myopes to avoid accidental piercing of the ciliary body and inducing a cyclodialysis cleft.
Identifiants
pubmed: 35845749
doi: 10.1016/j.ajoc.2022.101650
pii: S2451-9936(22)00396-6
pmc: PMC9278024
doi:
Types de publication
Case Reports
Langues
eng
Pagination
101650Informations de copyright
© 2022 The Authors.
Déclaration de conflit d'intérêts
The following authors have no financial disclosure: SD, YI, TL, JF, AM.
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