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A Method for Murine Islet Isolation and Subcapsular Kidney Transplantation
Published on: April 13, 2011
[Filtering bleb after surgical cyclodialysis].
J L García-Serrano1, C Cabello-Aparicio
1Hospital Universitario San Cecilio, Servicio de Oftalmología, Granada, España. jopalace@hotmail.com
Archivos De La Sociedad Espanola De Oftalmologia
|November 1, 2006
Summary
Blunt ocular trauma caused cyclodialysis clefts, leading to hypotony unresponsive to initial treatments. Surgical cyclopexy successfully closed the clefts, though a filtering bleb emerged post-operation.
Area of Science:
- Ophthalmology
- Trauma Surgery
Background:
- Degenerative myopia presents unique challenges in ocular trauma management.
- Blunt force ocular trauma can lead to complex intraocular complications.
Observation:
- A 35-year-old male with myopia experienced blunt ocular trauma from a ball impact.
- This resulted in four cyclodialysis clefts in the left eye, causing hypotony and chorioretinal folds.
Findings:
- Initial treatments including topical therapy and laser photocoagulation were ineffective for persistent hypotony.
- Surgical cyclopexy was performed, revealing incarcerated vitreous in one cleft, hindering closure.
- Post-surgery, cleft closure was achieved, but an unexpected filtering bleb developed, potentially impacting intraocular pressure control.
Implications:
- Direct cyclopexy is a viable surgical option for refractory cyclodialysis clefts.
- Incarcerated vitreous is a critical factor to address during surgical repair.
- The development of filtering blebs post-cyclopexy requires careful monitoring for intraocular pressure regulation.
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