Diagnosis and management of iatrogenic trochar-induced cyclodialysis cleft with intraoperative gonioscopy and argon endolaser.

Autor:	Dresner SM; Bascom Palmer Eye Institute, University of Miami, 7101 Fairway Drive, Palm Beach Gardens, Florida, USA., Islam YFK; Bascom Palmer Eye Institute, University of Miami, 7101 Fairway Drive, Palm Beach Gardens, Florida, USA., Lazzarini TA; Bascom Palmer Eye Institute, University of Miami, 7101 Fairway Drive, Palm Beach Gardens, Florida, USA., Fortun J; Bascom Palmer Eye Institute, University of Miami, 7101 Fairway Drive, Palm Beach Gardens, Florida, USA., Maharaj ASR; Bascom Palmer Eye Institute, University of Miami, 7101 Fairway Drive, Palm Beach Gardens, Florida, USA.
Jazyk:	angličtina
Zdroj:	American journal of ophthalmology case reports [Am J Ophthalmol Case Rep] 2022 Jul 01; Vol. 27, pp. 101650. Date of Electronic Publication: 2022 Jul 01 (Print Publication: 2022).
DOI:	10.1016/j.ajoc.2022.101650
Abstrakt:	Purpose: To report a case of iatrogenic vitrectomy trochar-induced cyclodialysis cleft successfully treated with intraoperative argon endolaser. Observations: 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. Conclusions and Importance: 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. Competing Interests: The following authors have no financial disclosure: SD, YI, TL, JF, AM. (© 2022 The Authors.)
Databáze:	MEDLINE
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