Purpose <p>To evaluate the surgical efficacy and functional outcomes of gonioscopy-guided transscleral direct cyclopexy (GTS direct cyclopexy) for repairing traumatic cyclodialysis clefts.</p> Methods <p>This study included 20 eyes of 20 patients with traumatic cyclodialysis. GTS direct cyclopexy was performed using a curved needle with 10 − 0 polypropylene suture to close the cleft, with gonioscopy guidance for precise localization and closure confirmation. Additional procedures such as vitrectomy were performed as needed. Clinical data, including best-corrected visual acuity (BCVA), intraocular pressure (IOP), and ultrasound biomicroscopy (UBM) findings, were collected preoperatively and at regular follow-up visits. Statistical analyses were performed using the Wilcoxon matched-pairs signed-rank test.</p> Results <p>Cyclodialysis closure was achieved in 19 of 20 eyes (95%) after a single GTS direct cyclopexy. The median extent of cyclodialysis was 60° (IQR: 34°–113°). BCVA significantly improved from 1.74 ± 0.98 logMAR preoperatively to 0.90 ± 0.69 logMAR at 6 months postoperatively (<i>p</i> = 0.002). IOP increased from a mean of 6.1 ± 2.8 mmHg to 12.63 ± 3.60 mmHg at 6 months (<i>p</i> = 0.0007). Postoperative IOP spikes were observed in 4 patients (20%) but were managed successfully. No cataracts related to the surgery were reported.</p> Conclusion <p>GTS direct cyclopexy is a safe, minimally invasive, and repeatable for repairing traumatic cyclodialysis clefts.</p>

错误:搜索内容不能为空,请输入英文关键词
错误:关键词超出字数限制,请精简
高级检索

Gonioscopy-guided transscleral direct cyclopexy for traumatic cyclodialysis cleft ——eye injury vitrectomy study

  • Bingjie Wang,
  • Kang Feng,
  • Yao Lu,
  • Liang Han,
  • Yingyu Li,
  • Ningning Chen,
  • Shancheng Si,
  • Yuntao Hu,
  • Zhizhong Ma

摘要

Purpose

To evaluate the surgical efficacy and functional outcomes of gonioscopy-guided transscleral direct cyclopexy (GTS direct cyclopexy) for repairing traumatic cyclodialysis clefts.

Methods

This study included 20 eyes of 20 patients with traumatic cyclodialysis. GTS direct cyclopexy was performed using a curved needle with 10 − 0 polypropylene suture to close the cleft, with gonioscopy guidance for precise localization and closure confirmation. Additional procedures such as vitrectomy were performed as needed. Clinical data, including best-corrected visual acuity (BCVA), intraocular pressure (IOP), and ultrasound biomicroscopy (UBM) findings, were collected preoperatively and at regular follow-up visits. Statistical analyses were performed using the Wilcoxon matched-pairs signed-rank test.

Results

Cyclodialysis closure was achieved in 19 of 20 eyes (95%) after a single GTS direct cyclopexy. The median extent of cyclodialysis was 60° (IQR: 34°–113°). BCVA significantly improved from 1.74 ± 0.98 logMAR preoperatively to 0.90 ± 0.69 logMAR at 6 months postoperatively (p = 0.002). IOP increased from a mean of 6.1 ± 2.8 mmHg to 12.63 ± 3.60 mmHg at 6 months (p = 0.0007). Postoperative IOP spikes were observed in 4 patients (20%) but were managed successfully. No cataracts related to the surgery were reported.

Conclusion

GTS direct cyclopexy is a safe, minimally invasive, and repeatable for repairing traumatic cyclodialysis clefts.