Treatment of a cyclodialysis cleft by means of ophthalmic laser microendoscope endophotocoagulation

Am J Ophthalmol. 1999 Dec;128(6):760-1. doi: 10.1016/s0002-9394(99)00245-7.


Purpose: To report on the repair of a cyclodialysis cleft by means of endolaser photocoagulation.

Method: Case report. We describe treatment of a cyclodialysis cleft by means of endolaser photocoagulation with a diode laser.

Results: In a 8-year-old boy with pseudophakia and secondary glaucoma in the right eye, combined trabeculectomy/trabeculotomy was performed. Ten months later, the patient was seen with persistent hypotony with a flat filtration bleb. The hypotony was unresponsive to all forms of medical therapy. Reformation of the anterior chamber along with synechialysis revealed a 2.5 clock-hour cyclodialysis cleft by means of gonioscopy. A laser microendoscope probe was used and laser was applied to both the internal scleral and external ciliary body surfaces within the depths of the cleft. Within 3 weeks after treatment, intraocular pressure increased to 15 mm Hg and has remained at that level as of 9 months after the endolaser photocoagulation procedure.

Conclusion: Endolaser photocoagulation with the ophthalmic laser microendoscope may be an appropriate procedure, after failure of medical therapy, for the diagnosis and repair of a cyclodialysis cleft, especially in the pediatric population.

Publication types

  • Case Reports

MeSH terms

  • Child
  • Ciliary Body / pathology
  • Ciliary Body / surgery*
  • Endoscopy*
  • Glaucoma / etiology
  • Glaucoma / surgery
  • Gonioscopy
  • Humans
  • Intraocular Pressure
  • Laser Coagulation*
  • Male
  • Ocular Hypotension / etiology
  • Ocular Hypotension / surgery
  • Pseudophakia / complications
  • Sclera / surgery*
  • Trabeculectomy / adverse effects
  • Uveal Diseases / etiology
  • Uveal Diseases / surgery*