Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft · 1994
[Reversible translimbal suture fixation of the ciliary body in treatment of ocular persistent hypotonia after surgical cyclodialysis].
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Klemm M, Winter R
Аннотация
UNLABELLED: After surgical or traumatical cyclodialysis dangerous hypotony can occur. In cases with peripheral anterior synechia the fixation of the ciliary body by reversible suture can bring about the desired pressure rise.
PATIENTS: In nine eyes with persistent ocular hypotony after cyclodialysis 13 ciliary body fixations were performed.
RESULTS: In four eyes the operation was successful. In two eyes a second operation was necessary. In two cases there was a high postoperative pressure rise. Cutting of the sutures led to a sudden decrease in pressure. In these eyes a second operation with slightly different fixation position was successful. One eye remained hypotonic.
CONCLUSIONS: This operative technique entail only slight risk while having good results in patients with aphakia and extensive peripheral anterior synechia. During the early postoperative periods there is the opportunity to reverse the operative effect.
PATIENTS: In nine eyes with persistent ocular hypotony after cyclodialysis 13 ciliary body fixations were performed.
RESULTS: In four eyes the operation was successful. In two eyes a second operation was necessary. In two cases there was a high postoperative pressure rise. Cutting of the sutures led to a sudden decrease in pressure. In these eyes a second operation with slightly different fixation position was successful. One eye remained hypotonic.
CONCLUSIONS: This operative technique entail only slight risk while having good results in patients with aphakia and extensive peripheral anterior synechia. During the early postoperative periods there is the opportunity to reverse the operative effect.