Open AccessNovel technique for traumatic cyclodialysis repair with phacoemulsification and Cionni's ring implantation
Author(s) -
Alok Sen,
Rajesh Subhash Joshi,
Rashmi Kashikar,
Tanya Jain
Publication year - 2019
Publication title -
indian journal of ophthalmology/indian journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 51
eISSN - 1998-3689
pISSN - 0301-4738
DOI - 10.4103/ijo.ijo_394_19
Subject(s) - medicine , phacoemulsification , gonioscopy , quadrant (abdomen) , ophthalmology , fundus (uterus) , effusion , surgery , intraocular pressure , visual acuity
A 17-years-old boy presented with cataract, 360° choroidal effusion and disc oedema secondary to chronic hypotony. Gonioscopy and AS-OCT revealed 2 clock hours of cyclodialysis in the superonasal quadrant. The case was successively managed with phacoemulsification with foldable IOL in the bag and Cionni's ring sutured in the superonasal quadrant. Post surgery, the BCVA improved from counting finger 1 meter to 20/40. IOP returned to normal and there was resolution of choroidal effusion and fundus signs. The case highlights the use of Cionni's ring in management of small cyclodialysis cleft by providing internal compression.