SCI is a safe procedure and the endothelial cells loss can be associated with the Perfect Capsule™ device (Milvella) in the anterior chamber insertion. DW irrigated for 3' reduces PCO in long-term follow-up.

BackgroundA cyclodialysis cleft is a gap resulting from disruption of the longitudinal fibers constituting the ciliary body attachment to the scleral spur. The cyclodialysis cleft can be of traumatic or iatrogenic origin, and it may occur during intraocular surgery or as a result of a glaucoma operation. In this report we present a surgical technique to treat cyclodialysis: cyclopexy combined with phacoemulsification subluxation lens, transscleral suturing of Cionni ring, and intraocular lens implantation with iris cerclage suture.Case presentationA 44-year-old Polish woman experienced a traumatic cyclodialysis cleft in her left eye, complicated by persistent hypotony, maculopathy, lens subluxation, and pupillary sphincter injury. Her corrected distance visual acuity was 0.1 (Snellen chart) and intraocular pressure 3.0 mmHg. We performed direct cyclopexy, anterior vitrectomy, removal of the subluxated lens by phacoemulsification, followed by an insertion of a capsular tension ring with 1-point scleral suture fixation with implantation of intraocular lens in the capsular bag and suturing around the pupil. Anterior segment optical coherence tomography revealed closure of the cleft by reattachment of the ciliary body to the sclera spur. Her corrected distance visual acuity was 0.8 and intraocular pressure 18 mmHg.ConclusionsThe choice of operating technique depends on the area of the ciliary body dialysis, the number of clefts and their location, the presence of other abnormalities of the ocular structures, and the surgical skills of the operator. Cyclopexy combined with phacoemulsification and transscleral suturing of Cionni ring and intraocular lens implantation with iris cerclage suture can be a good solution in cases of this type. The applied surgical technique proved to be effective.

BACKgRound: We conducted a prospective, follow-up study to analyze a long-term recovery process after posterior vitrectomy for idiopathic full-thickness macular hole. MATeRiAl And MeThodS: Sixty eyes were evaluated in 59 patients who underwent surgery for idiopathic fullthickness macular hole using posterior 25G vitrectomy with the "inverted ILM flap" technique from the beginning of 2013 to the end of 2014. In 55 eyes, posterior 25G phaco-vitrectomy with ILM peeling was performed using the "inverted ILM flap" technique with IOL implantation. In 5 pseudophakic eyes, posterior vitrectomy was performed with the technique as above. All patients were interviewed regarding the duration of the disease and pre-and postoperatively at intervals of 1, 3, 6, and 12 months. The following tests were performed: best-corrected visual acuity (BCVA), best-corrected near visual acuity (BCNVA), intraocular pressure (IOP) measurement, physical examination of the anterior and posterior segment of the eye, and spectral domain optical coherence tomography (SD-OCT). ReSulTS:The anatomical success in the study was 95%, and we achieved the improvement in visual acuity in 91.7% of the operated eyes. The visual acuity in the time interval before surgery and 12 months afterward improved from 0.1 to 0.29 and was statistically significant (p < 0.05). Shorter duration and smaller hole size were significant predictors of improved postoperative visual acuity. The U-type of the hole closure predisposed to the most significant improvement in visual acuity in patients. ConCluSionS:The obtained functional and anatomical results may confirm the effectiveness of posterior vitrectomy using the "inverted ILM flap" technique in treating idiopathic full-thickness macular holes. The observed sparce complications did not differ from the complication profile described by other authors.

SummaryPurposeTo evaluate efficacy and safety of sealed‐capsule irrigation (SCI) using distilled water (DW).Materials and methodsPhacoemulsification was performed in 60 patients. In the control the capsular bag was mechanically cleaned (MC), in the DW group DW for 3′ in SCI was additionally applied. SN60WF IOL was implanted in all eyes. Examinations were performed before and 1, 30, 180 days, 1 and 2 years after surgery. UDVA, CDVA, IOP, K2‐SIA, SEQ, endothelial cell and the complications were examined. Total PCO score in the area of 1, 3 mm and capsulorhexis (CAPS) were determined using EPCO 2000.ResultsAs far as safety parameters are concerned, no differences were observed between groups (P > 0.05). However, in the DW group the endothelial cell loss was higher (P < 0.05). Total PCO score differences were observed in both groups between the areas (P < 0.05). In CAPS area both, Total PCO score and PCO area were decreased in DW group (P < 0.05). PCO was also lower within 3 mm zone in the DW group (P < 0.05).ConclusionsSCI is a safe procedure and the endothelial cells loss can be associated with the Perfect Capsule™ device in the anterior chamber insertion. DW irrigated for 3′ reduces PCO in long‐term follow‐up.

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