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Use of anterior segment imaging and direct cyclopexy repair of cyclodialysis cleft


 Department of Ophthalmology, National University Hospital of Singapore, Singapore

Correspondence Address:
Victor Koh,
Department of Ophthalmology, National University Hospital of Singapore, 5 Lower Kent Ridge Road, Medical Centre, Level 17
Singapore
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/tjo.tjo_24_21

We aim to describe different imaging modalities to localize cyclodialysis clefts and direct cyclopexy repair of cyclodialysis clefts. We reviewed the record of a patient with traumatic cyclodialysis cleft who underwent direct cyclopexy retrospectively. Preoperative and postoperative visual acuity and intraocular pressure (IOP) were recorded. Gonioscopy, ultrasound biomicroscopy (UBM) and 360° swept-source anterior segment optical coherence tomography (SS-ASOCT) were used to localize the cyclodialysis cleft. We concluded that UBM is the current gold standard imaging modality in localization of cyclodialysis clefts, and that SS-ASOCT is potentially useful as alternative imaging modality. Direct cyclopexy is an effective treatment for large cyclodialysis cleft with good IOP control and visual outcomes.


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    -  Teoh CS
    -  Aquino MC
    -  Lim DK
    -  Chew P
    -  Koh V
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