ENCIRCLING CONTINUOUS SUTURE TECHNIQUE FOR THE MANAGEMENT OF EXTENSIVE TRAUMATIC CYCLODIALYSIS: A CASE REPORT

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PURPOSE: None of the authors has any financial/conflicting interests to disclose.The aim of this study was to report a surgical technique of cyclopexy, wherein two laps of encircling continuous sutures are placed around the limbus to treat refractory extensive cyclodialysis. METHODS: This study employed swept-source optical coherence tomography for anterior segment, color fundus photography, and spectral-domain optical coherence tomography for the macula. RESULTS: Previous attempts, including indirect cyclopexy and direct external cyclopexy with gas injection, failed to successfully resolve the severe cyclodialysis and associated hypotonic maculopathy. In the third surgery, two laps of encircling continuous sutures were placed around the limbus at the distances of 2-3 mm and 3-4 mm, respectively, along with phacoemulsification, intraocular lens implantation, and capsular tension ring placement. After surgery, hypotony and hypotonic maculopathy were effectively resolved, resulting in a significant improvement in VA that has been maintained over a year. CONCLUSION: The described surgical technique of encircling continuous sutures may be a viable option for the treatment of severe cyclodialysis.

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