Diagnosis and management of iatrogenic trochar-induced cyclodialysis cleft with intraoperative gonioscopy and argon endolaser
Purpose: To report a case of iatrogenic vitrectomy trochar-induced cyclodialysis cleft successfully treated with intraoperative argon endolaser. Observations: A 68-year-old Caucasian male with a history of high myopia underwent pars plana vitrectomy to clear symptomatic vitreous opacities but develo...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-09-01
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| Series: | American Journal of Ophthalmology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2451993622003966 |
| _version_ | 1828355840848953344 |
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| author | Samuel M. Dresner Yasmin Florence Khodeja Islam Thomas A. Lazzarini Jorge Fortun Arindel S.R. Maharaj |
| author_facet | Samuel M. Dresner Yasmin Florence Khodeja Islam Thomas A. Lazzarini Jorge Fortun Arindel S.R. Maharaj |
| author_sort | Samuel M. Dresner |
| collection | DOAJ |
| description | Purpose: To report a case of iatrogenic vitrectomy trochar-induced cyclodialysis cleft successfully treated with intraoperative argon endolaser. Observations: A 68-year-old Caucasian male with a history of high myopia underwent pars plana vitrectomy to clear symptomatic vitreous opacities but developed early postoperative hypotony that was recalcitrant to medical management for the first 6 postoperative months. Intraoperative gonioscopy demonstrated a cyclodialysis cleft and argon endolaser was applied to close the cleft. Conclusions and Importance: Endolaser is an effective treatment for cyclodialysis clefts and intraoperative gonioscopy allows direct visualization of the cleft in a controlled operating room setting. Placement of vitrectomy ports should be done with care in high myopes to avoid accidental piercing of the ciliary body and inducing a cyclodialysis cleft. |
| first_indexed | 2024-04-14T02:49:46Z |
| format | Article |
| id | doaj.art-15031909fc5f463d8f5ccbb2fd78cad6 |
| institution | Directory Open Access Journal |
| issn | 2451-9936 |
| language | English |
| last_indexed | 2024-04-14T02:49:46Z |
| publishDate | 2022-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Journal of Ophthalmology Case Reports |
| spelling | doaj.art-15031909fc5f463d8f5ccbb2fd78cad62022-12-22T02:16:19ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362022-09-0127101650Diagnosis and management of iatrogenic trochar-induced cyclodialysis cleft with intraoperative gonioscopy and argon endolaserSamuel M. Dresner0Yasmin Florence Khodeja Islam1Thomas A. Lazzarini2Jorge Fortun3Arindel S.R. Maharaj4Bascom Palmer Eye Institute, University of Miami, 7101 Fairway Drive, Palm Beach Gardens, Florida, USABascom Palmer Eye Institute, University of Miami, 7101 Fairway Drive, Palm Beach Gardens, Florida, USABascom Palmer Eye Institute, University of Miami, 7101 Fairway Drive, Palm Beach Gardens, Florida, USABascom Palmer Eye Institute, University of Miami, 7101 Fairway Drive, Palm Beach Gardens, Florida, USACorresponding author. 7101 Fairway Drive, Palm Beach Gardens, FL, 33418, USA.; Bascom Palmer Eye Institute, University of Miami, 7101 Fairway Drive, Palm Beach Gardens, Florida, USAPurpose: To report a case of iatrogenic vitrectomy trochar-induced cyclodialysis cleft successfully treated with intraoperative argon endolaser. Observations: A 68-year-old Caucasian male with a history of high myopia underwent pars plana vitrectomy to clear symptomatic vitreous opacities but developed early postoperative hypotony that was recalcitrant to medical management for the first 6 postoperative months. Intraoperative gonioscopy demonstrated a cyclodialysis cleft and argon endolaser was applied to close the cleft. Conclusions and Importance: Endolaser is an effective treatment for cyclodialysis clefts and intraoperative gonioscopy allows direct visualization of the cleft in a controlled operating room setting. Placement of vitrectomy ports should be done with care in high myopes to avoid accidental piercing of the ciliary body and inducing a cyclodialysis cleft.http://www.sciencedirect.com/science/article/pii/S2451993622003966Cyclodialysis cleftEndolaserCleft repairIatrogenic complication |
| spellingShingle | Samuel M. Dresner Yasmin Florence Khodeja Islam Thomas A. Lazzarini Jorge Fortun Arindel S.R. Maharaj Diagnosis and management of iatrogenic trochar-induced cyclodialysis cleft with intraoperative gonioscopy and argon endolaser American Journal of Ophthalmology Case Reports Cyclodialysis cleft Endolaser Cleft repair Iatrogenic complication |
| title | Diagnosis and management of iatrogenic trochar-induced cyclodialysis cleft with intraoperative gonioscopy and argon endolaser |
| title_full | Diagnosis and management of iatrogenic trochar-induced cyclodialysis cleft with intraoperative gonioscopy and argon endolaser |
| title_fullStr | Diagnosis and management of iatrogenic trochar-induced cyclodialysis cleft with intraoperative gonioscopy and argon endolaser |
| title_full_unstemmed | Diagnosis and management of iatrogenic trochar-induced cyclodialysis cleft with intraoperative gonioscopy and argon endolaser |
| title_short | Diagnosis and management of iatrogenic trochar-induced cyclodialysis cleft with intraoperative gonioscopy and argon endolaser |
| title_sort | diagnosis and management of iatrogenic trochar induced cyclodialysis cleft with intraoperative gonioscopy and argon endolaser |
| topic | Cyclodialysis cleft Endolaser Cleft repair Iatrogenic complication |
| url | http://www.sciencedirect.com/science/article/pii/S2451993622003966 |
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