Management of hypotonous cyclodialysis with pars plana vitrectomy, gas tamponade, and cryotherapy.

BACKGROUND AND

OBJECTIVE

Cyclodialysis after ocular trauma or surgery may lead to hypotony and visual loss. A new surgical approach for the treatment of cyclodialysis is reported.

PATIENTS AND

METHODS

In three patients with long-standing cyclodialysis and hypotony, a pars plana vitrectomy with gas tamponade and transscleral cryotherapy to the region of the cleft was performed.

RESULTS

In all patients intraocular pressure increased to normal or near normal, choroidal detachment and retinal and disc edema resolved, and visual acuity increased.

CONCLUSION

A hypotonous cyclodialysis can be successfully treated with vitrectomy, gas tamponade, and cryotherapy. This approach may be superior to other techniques if there are also additional posterior segment problems, or if there is lens dislocation.