Traumatic cyclodialysis treated with transscleral ciclodiode laser: Anterior and posterior segment evolution

Cyclodialysis cleft repair: A multi‐centred, retrospective case series

“…This remains largely true today, as in our sample, laser treatment alone was shown to be successful in only three cases, of which only one case was performed on a cleft with extension of greater than 2 clock hours. Transscleral diode laser photocoagulation over the area of the cleft is another alternative to facilitate the cleft closure, however the optimal treatment parameters are not known . For more extensive cases and for those in which laser treatment has failed, direct cyclopexy is the preferred and definitive option.…”

“…Transscleral diode laser photocoagulation over the area of the cleft is another alternative to facilitate the cleft closure, however the optimal treatment parameters are not known. 7 For more extensive cases and for those in which laser treatment has failed, direct cyclopexy is the preferred and definitive option. A less invasive ab interno approach that has been used to close large or multiple clefts is a modified capsular tension ring secured in the sulcus.…”

“…Cycloplegia is often the first step. Minimally invasive techniques include transscleral, transcorneal and endoscopic laser approaches . When these methods are inadequate, surgical interventions such as implantation of an intraocular lens, ciliochoroidal argon laser endophotocoagulation, cyclocryotherapy in combination with gas tamponade and vitrectomy, diathermy, anterior scleral buckle, translimbal and transccleral suture fixation, direct cyclopexy and capsular tension rings have been used.…”

“…Minimally invasive techniques include transscleral, transcorneal and endoscopic laser approaches. 6,7 When these methods are inadequate, surgical interventions such as implantation of an intraocular lens, 8,9 ciliochoroidal argon laser endophotocoagulation, 10 cyclocryotherapy in combination with gas tamponade and vitrectomy, 11,12 diathermy, 13 anterior scleral buckle, 14 translimbal and transccleral suture fixation, 15 direct cyclopexy 1,16 and capsular tension rings 6 have been used. Given the potential for clefts to resolve spontaneously without treatment, it remains unclear whether the quoted treatment success rates of these techniques are truly related to the interventions themselves.…”

Vitrectomy + 360° cyclopexy with transscleral 810 nm laser application: a novel surgical technique for hypotonic maculopathy

“…Many treatment options have been reported, ranging from internal or external laser cyclophotocoagulation [1][2][3], transscleral diathermy [1], cryotherapy [4] to surgical therapy and vitreoretinal procedures, such as suture-based techniques [5], vitrectomy, endotamponades or scleral buckling. All of the aforementioned approaches share the same purpose of closing the cyclodialysis cleft, reattach the ciliary body to the sclera and to normalize the IOP.…”