Vitrectomy with Air Endotamponade for Traumatic Cyclodialysis

Area of Science:

• Ophthalmology
• Surgical Techniques
• Retina and Vitreous Surgery

Background:

• Cyclodialysis clefts, particularly traumatic ones, present challenges in surgical repair with no universally agreed-upon optimal treatment.
• Investigating novel surgical approaches is crucial for managing traumatic cyclodialysis and improving patient outcomes.
• Understanding the efficacy of different surgical interventions is key to advancing ophthalmological surgical practices.

Purpose of the Study:

• To evaluate the clinical efficacy of a novel surgical approach for managing traumatic cyclodialysis.
• To assess the anatomical success, visual acuity, and intraocular pressure following the surgical intervention.
• To determine if pars plana vitrectomy with air endotamponade is a viable treatment for traumatic cyclodialysis.

Main Methods:

• Prospective enrollment of 7 patients (7 eyes) with traumatic cyclodialysis and associated vitreous diseases.
• Diagnosis of cyclodialysis confirmed using ultrasound biomicroscopy.
• Surgical intervention involved pars plana vitrectomy with air endotamponade; outcomes measured included anatomical success, best-corrected visual acuity (BCVA), and intraocular pressure (IOP).

Main Results:

• 100% anatomical success rate in restoring the detached ciliary body in all patients.
• Significant improvement in best-corrected visual acuity (BCVA) from 1.40 ± 0.49 to 0.42 ± 0.31 (P = 0.002).
• Postoperative intraocular pressure (IOP) showed a non-significant increase (P = 0.056), with transient elevations or decreases noted; two patients had abnormal IOP at follow-up.

Conclusions:

• Vitrectomy with air endotamponade is an effective surgical approach for traumatic cyclodialysis.
• The procedure is minimally invasive and suitable for small traumatic cyclodialysis clefts.
• This technique offers a promising alternative for managing traumatic cyclodialysis, improving anatomical and visual outcomes.