December 2002
Volume 43, Issue 13
Free
ARVO Annual Meeting Abstract  |   December 2002
Pneumatic Cyclocryopexy for Closure of Traumatic Cyclodialysis Clefts
Author Affiliations & Notes
  • RP Gallemore
    Retina-Vitreous Associates Los Angeles CA
  • AB Wolf
    University of Vermont Burlington VT
  • DS Boyer
    Retina-Vitreous Associates Los Angeles CA
  • EL Thomas
    Retina-Vitreous Associates Los Angeles CA
  • RL Novack
    Retina-Vitreous Associates Los Angeles CA
  • TG Chu
    Retina-Vitreous Associates Los Angeles CA
  • Footnotes
    Commercial Relationships   R.P. Gallemore, None; A.B. Wolf, None; D.S. Boyer, None; E.L. Thomas, None; R.L. Novack, None; T.G. Chu, None.
Investigative Ophthalmology & Visual Science December 2002, Vol.43, 4510. doi:
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    • Get Citation

      RP Gallemore, AB Wolf, DS Boyer, EL Thomas, RL Novack, TG Chu; Pneumatic Cyclocryopexy for Closure of Traumatic Cyclodialysis Clefts . Invest. Ophthalmol. Vis. Sci. 2002;43(13):4510.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Abstract: : Purpose:To report the technique of pneumatic cyclocryopexy for the repair of traumatic cyclodialysis clefts. Methods:Traumatic cyclodialysis clefts were repaired in 2 phakic eyes and one aphakic eye of 3 patients. Clefts were localized with gonioscopy and ultrasound biomicroscopy (UBM). External cryotherapy was applied over the cleft in a confluent fashion. An intravitreal perfluoropropane gas bubble (C3F8, 0.3 cc) was then injected and the patient was positioned to tamponade the cleft. Results:Follow-up ranged from 2 months to 1 year. Preoperative visual acuities ranged from 20/100 to 2/200 and improved to 20/25 to 20/30 following pneumatic cyclocryopexy. Intraocular pressure increased from 2 - 5 mmHg preoperatively to 15 - 18 mmHg at the last follow-up. One patient required temporary treatment with topical drops to control intraocular pressure. Fundus exam demonstrated resolution of hypotonous maculopathy in all cases. Gonioscopy and/or UBM demonstrated closure of the clefts. There were no complications. Conclusion:Pneumatic cyclocryopexy is a simple, safe, and effective approach to the management of traumatic cyclodialysis clefts.

Keywords: 563 retinal detachment • 628 vitreoretinal surgery • 554 retina 
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