Cyclodialysis cleft repair with goniotomy for the control of post-operative ocular hypertension

Abstract

Purpose: In this case of iatrogenic cyclodialysis cleft, we describe a technique in which a nasal goniotomy is coupled with indirect cyclodialysis cleft (CDC) repair in order to minimize acute post-operative ocular hypertension, which is common following cyclodialysis cleft closure. Observations: This novel technique was simple, convenient, and effective in controlling intraocular pressure (IOP) for the patient. Conclusions and importance: IOP frequently spikes to dangerously high levels following CDC closure. Pairing CDC repair with goniotomy may help prevent acute post-operative ocular hypertension in these patients.

Keywords

• Cyclodialysis cleft
• Ocular hypertension
• Glaucoma
• Minimally invasive glaucoma surgery
• MIGS