Cyclodialysis: an update
| Autor: | J. González-Martín-Moro, J. Zarallo-Gallardo, Fernando Gómez-Sanz, Inés Contreras-Martín, Francisco J. Muñoz-Negrete |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
genetic structures medicine.diagnostic_test business.industry Optic disk Ultrasound biomicroscopy Glaucoma Scleral spur Transillumination medicine.disease eye diseases Surgery 03 medical and health sciences Ophthalmology 0302 clinical medicine medicine.anatomical_structure Blunt trauma 030221 ophthalmology & optometry medicine Gonioscopy sense organs Complication business 030217 neurology & neurosurgery |
| Zdroj: | International Ophthalmology. 37:441-457 |
| ISSN: | 1573-2630 0165-5701 |
| Popis: | Cyclodialysis is the result of the separation of the longitudinal ciliary muscle fibers from the scleral spur, which creates an abnormal pathway for aqueous humor drainage that may lead to ocular hypotony. For many years cyclodialysis was considered a treatment option for glaucoma. However, today it usually occurs as a complication of blunt trauma or more rarely as a complication of anterior segment ocular surgery. Ocular hypotony can lead to cataract development, optic disk swelling, refractive changes, and several retinal complications, making accurate identification and timely intervention of the cleft mandatory. Traditionally gonioscopy was the only available technique to diagnose and localize the cleft. However, other tests such as optical coherence tomography, magnetic resonance imaging, transillumination, and specially ultrasound biomicroscopy are now available for the diagnosis of cyclodialysis. Multiple treatment options are also available for this condition. Although medical treatment can be effective to close small clefts, surgery is needed in most patients to restore ocular pressure. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink