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Cyclodialysis cleft diagnosed by conventional ultrasonography
S Kaushik1, S K Arya, S Kochhar
1Department of Ophthalmology, Government Medical College and Hospital, Chandigarh, India. drspk@ch1.dot.net.in
Ophthalmic Surgery and Lasers
|August 6, 2000
Summary
Diagnosing traumatic cyclodialysis clefts can be challenging due to severe hypotony and media haze. This report demonstrates successful diagnosis using a 9 MHz ultrasound probe, even without advanced equipment.
Area of Science:
- Ophthalmology
- Medical Imaging
Background:
- Traumatic cyclodialysis clefts present diagnostic challenges due to clinical signs like hypotony and media haze.
- Traditional gonioscopy is difficult, and advanced imaging like ultrasonic biomicroscopy (UBM) may not be available.
Observation:
- This case report details the diagnosis and management of a traumatic cyclodialysis cleft.
- The diagnosis was made using a standard 9 MHz microconvex ultrasound probe, in the absence of UBM.
- The patient presented with typical symptoms including extreme hypotony and media haze, complicating clinical examination.
Findings:
- A traumatic cyclodialysis cleft was successfully identified using a 9 MHz ultrasound probe.
- The use of a microconvex ultrasound probe proved effective in delineating the anteriorly located cleft.
- The patient was managed conservatively with a favorable outcome.
Implications:
- This approach offers a valuable diagnostic adjunct for cyclodialysis clefts, especially when high-frequency ultrasound or UBM is unavailable.
- It highlights the utility of readily accessible ultrasound technology in diagnosing challenging ocular conditions.
- Conservative management can be successful for traumatic cyclodialysis clefts diagnosed with standard ultrasound equipment.