Cyclodialysis cleft repair with goniotomy for the control of post-operative ocular hypertension

Lorraine M Provencher; Manjool M Shah

doi:10.1016/j.ajoc.2020.100781

Cyclodialysis cleft repair with goniotomy for the control of post-operative ocular hypertension

Am J Ophthalmol Case Rep. 2020 Jun 18:19:100781. doi: 10.1016/j.ajoc.2020.100781. eCollection 2020 Sep.

Authors

Lorraine M Provencher^{1

2}, Manjool M Shah¹

Affiliations

¹ University of Michigan, Kellogg Eye Center, Ann Arbor, MI, USA.
² Cincinnati Eye Institute, Cincinnati, OH, USA.

Abstract

Purpose: In this case of iatrogenic cyclodialysis cleft, we describe a technique in which a nasal goniotomy is coupled with indirect cyclodialysis cleft (CDC) repair in order to minimize acute post-operative ocular hypertension, which is common following cyclodialysis cleft closure.

Observations: This novel technique was simple, convenient, and effective in controlling intraocular pressure (IOP) for the patient.

Conclusions and importance: IOP frequently spikes to dangerously high levels following CDC closure. Pairing CDC repair with goniotomy may help prevent acute post-operative ocular hypertension in these patients.

Keywords: Cyclodialysis cleft; Glaucoma; MIGS; Minimally invasive glaucoma surgery; Ocular hypertension.

Publication types

Case Reports