Ciliary body suturing using intraocular irrigation for traumatic cyclodialysis: two case reports

Area of Science:

• Ophthalmology
• Surgical Techniques
• Trauma Care

Background:

• Traumatic cyclodialysis can lead to prolonged hypotony (low intraocular pressure) and vision loss.
• Conservative treatments for persistent hypotony maculopathy following cyclodialysis are often insufficient.
• Surgical intervention is sometimes necessary to address severe cases of traumatic cyclodialysis.

Observation:

• Two cases of traumatic cyclodialysis with sustained hypotony maculopathy were reported.
• Patients, a 17-year-old boy and a 31-year-old man, experienced ocular trauma from blunt force.
• Conservative management failed to resolve the hypotony maculopathy in both individuals.

Findings:

• A novel surgical technique involving ciliary body suturing with intraocular irrigation was successfully employed.
• The procedure involved suturing the detached ciliary body to the sclera under direct vision via a scleral wound.
• This method facilitated stable ciliary body fixation and effective drainage of intraocular fluid.

Implications:

• The described surgical approach is effective for treating traumatic cyclodialysis with hypotony.
• Direct visualization and stable suture fixation through a scleral wound offer advantages over traditional methods.
• This technique may reduce intraoperative bleeding and the risk of blind suturing in managing cyclodialysis.