Surgical treatment of postcontusional iridocyclodialysis with lens damage

Abstract

Purpose: to examine results of a new method of iridocyclodialysis and posttraumatic lens damage treatment directed at intraocu- lar pressure normalization and visual recovery.Methods: 7 patients with ocular postcontusional hypotension, iridocyclodialysis, traumatic cataract and lens subluxation were ex- amined. Ultrasound biomicroscopy and optical coherence tomography were used to evaluate the status of anterior segment of the eye. Results: All patients underwent two-stage surgery. As a first stage iridocyclopexia was made. Second stage was cataract extrac- tion in different modifications with iridoplasty. Follow-up period of 1-1.5 years and results of UBM and OCt showed intraocular pres-sure normalization, regression of hypotension and visual recovery.Conclusion: Worked out surgery of iridocyclopexia with following cataract extraction is an effective and safe method of postcon-tusional iris and ciliary body damages treatment. two-stage complex surgery allows to get intraocular pressure normalization at thedistant times, to recover visual functions and can prevent secondary postcontusional glaucoma development.

Keywords

• postcontusional hypotony
• iridodialysis
• cyclodialysis
• iridocyclopexya
• traumatic cataract