| Novel Adjuvant Method to Assist Localisation of a Cyclodialysis Cleft. |
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Jaewoo Baek, Kyung Jun Choi, Kyung Wha Lee, Soonil Kwon |
1Department of Ophthalmology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea. magicham@hanmail.net
2Taebaek Health Center, Taebaek, Korea. |
| 섬모체해리틈새의 위치를 정확하게 확인하는 새로운 방법 |
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백재우1⋅최경준2⋅이경화1⋅권순일1 |
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한림대학교 의과대학 한림대학교성심병원 안과학교실1, 태백시 보건소2 |
Correspondence:
Soonil Kwon,
Email: magicham@hanmail.net
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Received: 1 September 2016 • Revised: 4 November 2016 • Accepted: 28 December 2016 |
| Abstract |
PURPOSE
To introduce a novel adjuvant technique to locate cyclodialysis cleft using a laser pointer in a gonioscopic view. CASE SUMMARY: A 36-year-old man complaining of blurred vision in his left eye after blunt trauma 2 weeks prior was referred to our hospital. Gonioscopy showed a cyclodialysis cleft from 3 to 4 o'clock and fundus revealed hypotonic maculopathy. After the failure of medical treatment, we tried various interventions such as injection of viscoelastic agent into the anterior chamber and intravitreal gas tamponade with transconjunctival cryotherapy. Since those were not successful, we decided to treat the patient with direct cyclopexy. For the preoperative localization of the cleft, we tried a new technique that uses a laser pointer. On gonioscopic examination, an assistant shot the laser toward the limbal area where the suspicious cleft was located. We were able to precisely locate the cyclodialysis cleft if the laser pointer light was seen through the cleft in the gonioscopic view. With the aid of a laser a pointer, the cleft was successfully closed. CONCLUSIONS: Localization with a laser pointer is simple, safe, rapid, and helpful for planning surgical repair of a cyclodialysis cleft without expensive equipment. |
| Key Words:
Cyclodialysis cleft;Hypotonic maculopathy;Localization of cyclodialysis cleft;Traumatic hypotony |
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