| 발표일자: |
2018년 11월 2일(금) ~ 11월 4(일) |
| 발표번호: |
V-029 |
| 발표장소: |
코엑스 컨퍼런스룸 3층 301 A-B |
|
|
| A Hidden Trauma |
| Department of Ophthalmology, Faculty of Medicine, University of Malaya, 50603 Kuala Lumpur, MALAYSIA |
| Aliff Irwan Cheong (1) Tengku Ain Fathlun (1) |
| Summary of
Contents : To describe a case of a cyclodialysis cleft, clinical features and principal of surgical management. This patient whom sustain a penetrating eye injury and develop persistent low intraocular pressure despite primary repair. A cyclodialysis cleft was diagnosed using gonioscopy in this patient. Traditionally diagnosis is establish via gonioscopy, however in certain condition it may be difficult and can be aided with high resolution anterior segment ultrasound. Cyclodialysis cleft generally occur in a setting of a surgical complication or rarely as a trauma. The hallmark for diagnosis of cyclodialysis cleft are low intraocular pressure but most cases initial pressure may not be low due to inflammatory debris or cells occluding it. Surgical treatment of clefts are needed in 4 clock hours or more and closure of a cleft within 2 months of the onset leads to significant better final visual outcome. Failure of identify the cause will result in prolonged hypotony and permanent chorioretinal changes associated with hypotony maculopathy. A step by step principle of surgical repair is described in this video. This video is hope to remind ophthalmologist that cyclodialysis cleft should always be considered in part of differential diagnosis for new onset of hypotony after anterior segment trauma or surgery. |
| |