Single-suture single-knot ab interno cyclopexy for extensive posttraumatic cyclodialysis: Modified sewing machine technique.

We describe a modified sewing machine technique that is ab interno and minimally invasive. The single-suture, single-knot endocyclopexy (internal suture fixation) is performed to correct cyclodialysis. This inside-out technique is an alternative to existing standard cleft repair procedures, such as external direct/indirect cyclopexy and endocyclotamponade (internal mechanical tamponade using extraneous agents). Results in 1 case indicate that the modified technique can be used as a primary procedure and in eyes in which previous cyclopexy failed.

[1]  F. Muñoz-Negrete,et al.  Cyclodialysis: an update , 2017, International Ophthalmology.

[2]  K V Ravi Kumar.  Sewing Machine Technique For Iridodialysis Repair , 2014 .

[3]  M. A. McCannel.  A retrievable suture idea for anterior uveal problems. , 1976, Ophthalmic surgery.

[4]  P. Shah,et al.  Long-term outcomes following the surgical repair of traumatic cyclodialysis clefts , 2013, Eye.

[5]  K. Barton,et al.  Cyclodialysis cleft: causes and repair , 2010, Current opinion in ophthalmology.

[6]  M. Müller,et al.  Glaukom und Netzhautchirurgie , 2010, Der Ophthalmologe.

[7]  C. Bunce,et al.  The evaluation and surgical management of cyclodialysis clefts that have failed to respond to conservative management , 2014, British Journal of Ophthalmology.

[8]  Lauren S Blieden,et al.  Surgical Repair of Large Cyclodialysis Clefts , 2017, European journal of ophthalmology.

[9]  J. Jonas,et al.  Internal cyclopexy for complicated traumatic cyclodialysis cleft , 2017, Acta ophthalmologica.

[10]  A. Rachitskaya,et al.  Indirect Cyclopexy for Repair of Cyclodialysis Clefts. , 2019, Retina.

[11]  G. Naumann,et al.  Direct cyclopexy for traumatic cyclodialysis with persisting hypotony. Report in 29 consecutive patients. , 1995, Ophthalmology.

[12]  Nisha Chadha,et al.  Indirect cyclopexy for treatment of a chronic traumatic cyclodialysis cleft with hypotony , 2014, Clinical ophthalmology.

[13]  T. Dada,et al.  Dual Endotemponade for Extensive Long-standing Cyclodialysis Using Sulcus-fixated Cionni Ring and PCIOL , 2016, Journal of glaucoma.

[14]  João Luis Silva,et al.  New technique for iridodialysis correction: Single‐knot sewing‐machine suture , 2016, Journal of cataract and refractive surgery.