Noninvasive closure of a persistent cyclodialysis cleft

Ophthalmology. 1996 Nov;103(11):1943-5. doi: 10.1016/s0161-6420(96)30404-1.


Background: A persistent post-traumatic cyclodialysis cleft can result in substantial visual loss due to subchoroidal effusion and macular folds with hypotony. A method of closure is needed.

Patients and methods: After other methods had been tried, the authors used transscleral YAG laser cyclophotocoagulation in three consecutive patients with 20 applications in two rows of ten applications, 2 to 3 mm behind the limbus, at a power setting of 6 J, with a defocus setting of 9.

Results: The cleft was closed with restoration of normal intraocular pressure and recovery of visual function in all patients.

Conclusion: Transscleral YAG laser cyclophotocoagulation is a simple, effective, noninvasive method of closing a persistent traumatic cyclodialysis cleft, which may make invasive surgical closure unnecessary.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Anterior Eye Segment / surgery*
  • Choroid Diseases / etiology
  • Choroid Diseases / surgery
  • Ciliary Body / injuries*
  • Ciliary Body / surgery
  • Eye Injuries / etiology
  • Eye Injuries / surgery*
  • Humans
  • Intraocular Pressure
  • Laser Coagulation*
  • Male
  • Ocular Hypotension / etiology
  • Ocular Hypotension / surgery
  • Visual Acuity
  • Wounds, Nonpenetrating / etiology
  • Wounds, Nonpenetrating / surgery*