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Purpose: Cyclodialysis is a rare complication following blunt traumatic bulb i njuries or surgical interventions. When treatment with cycloplegics or steroids is ineffective in attaching the ciliary body, cyclodialysis should be surgically treated. However, for reliable diagnosis and surgical therapy, an exact identif ication (size and extent) of the cyclodialysis cleft is imperative. Ultrasound b iomicroscopy (UBM) provides the appropriate information. Case Report: Four patie nts (19 to 65 years old, mean 45 years) with a detached ciliary body are describ ed. Three patients had suffered an injury, and one patient presented with a prio r trabeculotomy. The diagnosis was established with UBM. The location of the cyc lodialysis cleft ranged between 2 and 3 o’clock (mean 2.4 o’clock). In spite o f an intense treatment with cycloplegics and steroids no reattachment of the cyc lodialysis took place. Therefore, a surgical intervention was performed. The spa n between the injury and trabeculotomy, respectively, and the cyclodialysis oper ation ranged from 3 to 30 months (mean 12 months). On average, visual acuity was increased from 0.3 preoperatively to 0.6 postoperatively, and the intraocular p ressure was 6 mmHg before and 15 mmHg after operation. Symptoms preoperatively f ound without exception (choroidal detachment, papilledema “e vacuo”, macular e dema) had a complete recovery after operation. Conclusion: In cases where drug t herapies are unsuccessful in attaching the ciliary body, an operative fixation i s recommended. UBM is a very useful tool for making an exact diagnosis and defin ing the location of cyclodialysis as well as for follow-up of surgical treatmen t.
Purpose: Cyclodialysis is a rare complication of blunt traumatic bulb i njuries or surgical interventions. When treatment with cycloplegics or steroids is ineffective in attaching the ciliary body, cyclodialysis should be surgically treated. However, for reliable diagnosis and surgical therapy, an exact identification (size and extent) of the cyclodialysis cleft is imperative. Case Report: Four patients (19 to 65 years old, mean 45 years) with a detached ciliary body are describ ed. Three The patient was suffered an injury, and one patient presented with a prio r trabeculotomy. The diagnosis was established with UBM. The location of the cyc lodialysis cleft ranged between 2 and 3 o’clock (mean 2.4 o’clock). In spite of an intense treatment with cycloplegics and steroids no reattachment of the cyc lodialysis took place. Therefore, a surgical intervention was performed. The spa n between the injury and trabeculo On average, visual acuity was increased from 0.3 preoperatively to 0.6 postoperatively, and the intraocular ressure was 6 mmHg before and 15 mmHg after operation. Symptoms preoperatively f ound without exception (choroidal detachment, papilledema “e vacuo”, macular e dema) had a complete recovery after operation. Conclusion: In cases where t herapies are unsuccessful in attaching the ciliary body, an operative fixation is recommended. is a very useful tool for making an exact diagnosis and defin ing the location of cyclodialysis as well as for follow-up of surgical treatmen t.