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Combined sewing machine technique cyclopexy With transscleral diode cyclophotocoagulation for complete posttraumatic
G Roig-Ferreruela1, A Lanzagorta-Aresti1, J V Pia-Ludeña1
1Fundación de Oftalmología Médica de la Comunitat Valenciana, Valencia, Spain.
European Journal of Ophthalmology
|November 18, 2024
Summary
This study presents a novel surgical technique combining the sewing machine technique cyclopexy with transscleral diode cyclophotocoagulation for treating severe post-traumatic cyclodialysis, offering a safer alternative with improved outcomes.
Area of Science:
- Ophthalmology
- Surgical Techniques
Background:
- Post-traumatic cyclodialysis can lead to significant vision impairment.
- Traditional surgical methods carry risks like endophthalmitis and ciliary body hemorrhage.
Purpose of the Study:
- To describe an alternative surgical technique for managing massive post-traumatic cyclodialysis.
- To evaluate the efficacy and safety of a combined sewing machine technique cyclopexy and transscleral diode cyclophotocoagulation.
Main Methods:
- A technique report detailing a novel surgical approach for cyclodialysis repair.
- The procedure involved combined sewing machine technique cyclopexy with transscleral diode cyclophotocoagulation.
Main Results:
- Successful resolution of cyclodialysis and associated macular hypotony.
- Improvement in best corrected visual acuity and correction of induced hyperopia.
- Reduced risk of complications compared to traditional methods.
Conclusions:
- The combined technique offers a viable alternative for post-traumatic cyclodialysis.
- This approach presents fewer complications and enhanced intraoperative visualization.
- Favorable aesthetic outcomes were also noted.

