Cyclodialysis cleft: causes and repair
Cyclodialysis cleft: causes and repair
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DOI：
10.1097/icu.0b013e3283366a4d
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发表时间：
2010-03-01
影响因子：
3.7
通讯作者：
Barton, Keith
中科院分区：
文献类型：
--
作者：
Ioannidis, Alexander S.;Barton, Keith
综述的目的报道睫状体脱离裂的诊断和治疗的最新进展。最常见的原因是钝性眼外伤，其次是各种医源性干预。诊断尤其具有挑战性，各种新的非侵入性技术已被描述为促进这一过程，如超声生物显微镜(UBM)和眼前段OCT(AS-OCT)。睫状体脱离裂隙的处理首先应保守，其次是各种非手术和外科方法以达到闭合。最初，确定裂隙的完整范围和位置是特别重要的，因为在某些情况下，可能存在多个裂隙，需要各种非手术和手术干预。非手术干预包括在裂隙附近应用各种激光和冷冻治疗。传统的直接睫状体固定术最近得到了一些报道的补充，如采用改良的体外填充手术、玻璃体切割术和气体辅助下的眼球内固定术。正式评估这些技术的研究不足，无法评估其安全性和有效性。
Purpose of reviewTo report the most recent developments in the diagnosis and management of cyclodialysis clefts.Recent findingsCyclodialysis clefts are rare. The most common reason for presentation is blunt-ocular trauma followed by various iatrogenic interventions. Diagnosis is particularly challenging and various new noninvasive techniques have been described to facilitate this process, such as ultrasound biomicroscopy (UBM) and the anterior segment OCT (AS-OCT). The management of cyclodialysis clefts should be conservative initially followed by a variety of nonsurgical and surgical modalities to achieve closure.SummaryThe management of cyclodialysis clefts requires a step-wise approach. Initially, it is of particular importance to identify the full extent and location of the cleft as in some cases more than one cleft may be present requiring a variety of nonsurgical and surgical interventions. Nonincisional interventions include the application of various lasers and cryotherapy in the vicinity of the cleft. The traditional approach of direct cyclopexy has more recently been complemented by recent reports of employing modified external plombage procedures, vitrectomy and gas assisted endotamponade. There are insufficient studies formally evaluating these techniques to be able to assess their safety and efficacy.