Surgical Repair of Traumatic Cyclodialysis with Persistent Hypotony.

Kim, Kyu Ho; Kim, Jong Woo; Oh, Tae Hwa; Lee, Dam Ho

Original Article

Journal of the Korean Ophthalmological Society 1997;38(7):1294-1299.
Published online July 1, 1997.

Surgical Repair of Traumatic Cyclodialysis with Persistent Hypotony.

Kyu Ho Kim, Jong Woo Kim, Tae Hwa Oh, Dam Ho Lee

Department of Ophthalmology, National Medical CenterDepartment of Ophthalmology, Samsung Medical Center Kangbuk.

외상성 모양체해리로 인한 저안압의 수술치료 1예

김규호(Kyu Ho Kim),김종우(Jong Woo Kim),오태화(Tae Hwa Oh),이담호(Dam Ho Lee)

Abstract

Cyclodialysis is characterized by a disruption of the circumferential attachment of the fibers of the meridional ciliary muscle to the scleral spur. Cyclodialysis can lead to a marked chronic hypotony. Prolonged periods of hypotony can result in corneal edema, Descemet`s folds, shallow anterior chamber, cataract formation, chorioretinal folds that can involve the macula, and optic disc edema. The authors experienced a case of traumatic cyclodialysis with a persistent hypotony. We have treated with refixation of the detached ciliary body, by direct cyclopexy. Postoperatively, hypotony was disappeared and visual improvement was achieved.

Key Words: Cyclodialysis;Direct cyclopexy;Hypotony