Traumatic cyclodialysis treated with transscleral ciclodiode laser: Anterior and posterior segment evolution

Arch Soc Esp Oftalmol. 2017 Aug;92(8):386-389. doi: 10.1016/j.oftal.2016.12.013. Epub 2017 May 19.
[Article in English, Spanish]

Abstract

Case report: A 35-year-old man suffered a severe hipotension maculopathy after being kicked in his left eye. He presented a broad area of iridodialisis. Gonioscopy, ultrasound biomicroscopy and optic coherence tomography were not able to locate the suspected cyclodialysis. Medical treatment was ineffective. Five months later the patient received transcleral diode laser cyclophotocoagulation with clinical resolution.

Discussion: Transscleral diode laser constitutes an effective treatment, with low iatrogenia, that can solve cases of ocular hypotension, even when the location of the cyclodialysis has not been determined.

Keywords: Blunt ocular trauma; Ciclodiálisis; Cyclodialysis; Hipotonía ocular; Hypotony maculopathy; Maculopatía por hipotensión; Ocular hypotony; Traumatismo ocular contuso.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anterior Eye Segment
  • Eye Injuries / complications
  • Eye Injuries / surgery*
  • Humans
  • Laser Therapy*
  • Lasers, Semiconductor / therapeutic use*
  • Male
  • Ocular Hypotension / etiology
  • Ocular Hypotension / surgery*
  • Ophthalmologic Surgical Procedures / methods
  • Posterior Eye Segment
  • Sclera
  • Wounds, Nonpenetrating / complications
  • Wounds, Nonpenetrating / surgery*