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cyclopexy versus vitrectomy combined with intraocular tamponade for treatment of cyclodialysis

International Journal of Ophthalmology(English edition) 2013年第2期6卷 187-192页

作者： Wei-Wei Xu Yi-Fei Huang Li-Qiang Wang Mao-Nian Zhang Department of Ophthalmology Chinese People's Liberation Army (PLA) General Hospital

AIM:Tocomparetheeffectsandcomplicationsof direc cyclopexy (DC) versus vitrectomy, endophotocoagulation, and gas/silicone oil endotamponade (VEE) treatment in patients with cyclodialysis and persistent ***: This is a prospective, comparative, non-randomized clinical trial which includes 52 patients with cyclodialysis and persisting hypotony. Fifty-two patients suffering from cyclodialysis and persistent hypotony in one eye were divided into 2 groups (groups DC and VEE) and treated, respectively, with direct cyclopexy or vitrectomy, endophotocoagulation, and gas/silicone oil endotamponade. The patients were followed up for 12 months. Assessments included best corrected visual acuity (BCVA), intraocular pressure (IOP), anterior chamber depth (ACD), anterior chamber volume (ACV) and subjective rating of the pain caused by the ***: After a follow-up of 12 months, significan improvement was seen in postoperative mean BCVA, IOP, ACD and ACV in both treatment groups (which were not significantly different from each other). The success rates for the treatments were not significantly different (DC: 50.0% vs VEE: 62.5% , P =0.383). Postoperative morbidity of cataract and subjective pain rating were significantly higher in the VEE group vs the DC group (P =0.003 and P <0.001 respectively).CONCLUSION: DC and VEE were effective surgica procedures in treating patients with cyclodialysis and persistent hypotony. Patients had better tolerance to DC treatment and VEE was more likely lead to cataract complications. Taking into consideration the ease of the operation, success rate, and patient comfort, DC treatment seems preferable to VEE treatment in patients with simple cyclodialysis. While VEE has the advantage of treating patients with cyclodialysis combined with vitreous hemorrhage.

关键词： cyclodialysis ocular hypotony cyclopexy vitrectomy

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Scleral buckling combined with internal cyclopexy for severe traumatic cyclodialysis cleft in open globe injuries

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International Journal of Ophthalmology(English edition) 2019年第10期12卷 1649-1653页

作者： Bo Chen Gao-Xiang Wang Xian Zhang Hong Yang Department of Ophthalmology Tongji HospitalTongjiMedical CollegeHuazhong University of Science andTechnologyWuhan430030Hubei ProvinceChina Department of Hematology Tongji HospitalTongji MedicalCollegeHuazhong University of Science and TechnologyWuhan430030Hubei ProvinceChina

This study aimed to evaluate the effect of scleral buckling combined with internal cyclopexy on the treatment of severe traumatic cyclodialysis cleft in open globe injuries(OGIS). This retrospective study recruited 10 patients of 10 eyes. With our surgical intervention, all the 10 eyes achieved retinal and ciliary body anatomic re-attachment. The choroidal ruptures in nine eyes were closed with complete choroidal reattachment. Postoperative best-corrected visual acuity of nine eyes had various improvements. The mean intraocular pressure was increased from 8.9±2.6 mm Hg to 13.4±4.4 mm Hg. Eventually, six eyes underwent silicone oil(SO) removal without complications, two eyes still had SO tamponade and two eyes became SO-dependent eyes. The result shows that internal direct cyclopexy combined with scleral buckling is an effective treatment for severe traumatic cyclodialysis cleft in OGIS.

关键词： cyclodialysis ocular trauma cyclopexy scleral buckling pars plana vitrectomy

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