Visualized cyclodialysis--an additional option in glaucoma surgery

Visualized cyclodialysis was carried out in 16 consecutive cases of operation-demanding glaucoma, where trabeculectomy was considered inexpedient. In 9 cases simultaneous cataract extraction was carried out. At follow-up 2-34 months (median = 15) post-operatively, the IOP had decreased from a median value of 32 mmHg (range 21-44) to a median value of 17 mmHg (range 7-28) in 15 out of 16 eyes. The 16th eye had to be eviscerated because of pain before and after an inefficient cyclodialysis. Five eyes were reoperated upon. Essential complications were 2 cases of central visual field impairment and 1 case of arteriovenous occlusion after cyclodialysis revision. We find visualized cyclodialysis a useful procedure for aphakic glaucoma as well as for re-operations. Frequent post-operative examinations are necessary for 1-2 months post-operatively.