Cyclodialysis cleft repair with goniotomy for the control of post-operative ocular hypertension

In this case of iatrogenic cyclodialysis cleft, we describe a technique in which a nasal goniotomy is coupled with indirect cyclodialysis cleft (CDC) repair in order to minimize acute post-operative ocular hypertension, which is common following cyclodialysis cleft closure. This novel technique was...

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Bibliographic Details
Published in:American journal of ophthalmology case reports 2020-09, Vol.19, p.100781, Article 100781
Main Authors: Provencher, Lorraine M., Shah, Manjool M.
Format: Article
Language:English
Subjects:
Case Report
Cyclodialysis cleft
Glaucoma
MIGS
Minimally invasive glaucoma surgery
Ocular hypertension
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Summary:In this case of iatrogenic cyclodialysis cleft, we describe a technique in which a nasal goniotomy is coupled with indirect cyclodialysis cleft (CDC) repair in order to minimize acute post-operative ocular hypertension, which is common following cyclodialysis cleft closure. This novel technique was simple, convenient, and effective in controlling intraocular pressure (IOP) for the patient. IOP frequently spikes to dangerously high levels following CDC closure. Pairing CDC repair with goniotomy may help prevent acute post-operative ocular hypertension in these patients.
ISSN:2451-9936
2451-9936
DOI:10.1016/j.ajoc.2020.100781