Cyclodialysis cleft repair and cataract management by phacoemulsification combined with internal tamponade using modified capsular tension ring insertion.

Abstract

PURPOSE:

To evaluate the surgical outcomes of cyclodialysis cleft repair and cataract management by phacoemulsification combined with internal tamponade using a modified capsular tension ring (MCTR) compared with direct cyclopexy.

METHODS:

The preoperative and postoperative characteristics of patients with cyclodialysis clefts who underwent surgery via insertion of an MCTR into the ciliary sulcus (MCTR group; 16 patients, 16 eyes) or direct cyclopexy (DC group; 16 patients, 16 eyes) were recorded.

RESULTS:

The cyclodialysis extended over 2.6 ± 1.9 clock hours in the MCTR group and 3.5 ± 1.8 clock hours in the DC group (P = 0.094). Postoperatively, the IOP was not significantly different between the MCTR and DC groups (12.9 ± 3.7 mmHg vs. 13.8 ± 6.2 mmHg, P = 0.985); the logarithm of the minimal angle of resolution BCVA was better (0.1 ± 0.2 vs. 1.0 ± 0.9, P < 0.001), and the anterior chamber depth was greater (3.87 ± 0.40 mm vs. 2.59 ± 0.58 mm, P < 0.001) in the MCTR group than in the DC group. Compared with the preoperative parameters, the postoperative BCVA, IOP, and anterior chamber depth values were significantly improved in the MCTR group (P < 0.05), whereas the BCVA showed no significant improvement postoperatively in the DC group (P = 0.174). Logistic regression revealed no significant risk factors for successful IOP control or BCVA improvement.

CONCLUSION:

Phacoemulsification combined with internal tamponade using MCTR insertion into the ciliary sulcus is a safe and minimally invasive method for effectively closing cyclodialysis clefts and managing cataract.

• Authors: Jiahui Chen, Qinghe Jing, Wei Gao, Min Zhang, Yinghong Ji, Junyi Chen, Yongxiang Jiang, Yi Lu
• Journal: Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie (Graefes Arch Clin Exp Ophthalmol) Vol. 256 Issue 12 Pg. 2369-2376 (Dec 2018) ISSN: 1435-702X [Electronic] Germany
• PMID: 30267206 (Publication Type: Journal Article)

Topics

• Adult
• Aged
• Case-Control Studies
• Ciliary Body (surgery)
• Female
• Follow-Up Studies
• Gonioscopy
• Humans
• Intraocular Pressure (physiology)
• Male
• Middle Aged
• Ocular Hypotension (etiology, physiopathology, surgery)
• Phacoemulsification (adverse effects)
• Postoperative Complications (surgery)
• Prospective Studies
• Prosthesis Implantation