Dr. RASHMI KRISHNAMURTHY

, Dr.Sirisha Senthil

Abstract

Purpose: Cyclodialysis cleft refers to the pathway that is formed following blunt/surgical trauma to the eye, allowing aqueous humour to drain from the anterior chamber to the suprachoroidal space. When the cleft size is large or it is present along with poor aqueous production, abnormally excessive aqueous drainage results in ocular hypotony with substantial vision loss.

Methods: Management is based on the size of the cyclodialysis cleft, and response to medical, non-surgical, or surgical treatment, prescribed in that order, to close the opening. This stepwise approach is elucidated here, and further illustrated by an exemplar surgery in a case of post-traumatic cyclodialysis cleft with related hypotony maculopathy. Practical tips are provided to correctly follow the technique to promote adherence and prevent cleavage recurrence.

Conclusion: Early diagnosis and appropriate intervention would go a long way in successful management of hypotony resulting from cyclodialysis cleft.