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Cyclodialysis: an update

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Abstract

Cyclodialysis is the result of the separation of the longitudinal ciliary muscle fibers from the scleral spur, which creates an abnormal pathway for aqueous humor drainage that may lead to ocular hypotony. For many years cyclodialysis was considered a treatment option for glaucoma. However, today it usually occurs as a complication of blunt trauma or more rarely as a complication of anterior segment ocular surgery. Ocular hypotony can lead to cataract development, optic disk swelling, refractive changes, and several retinal complications, making accurate identification and timely intervention of the cleft mandatory. Traditionally gonioscopy was the only available technique to diagnose and localize the cleft. However, other tests such as optical coherence tomography, magnetic resonance imaging, transillumination, and specially ultrasound biomicroscopy are now available for the diagnosis of cyclodialysis. Multiple treatment options are also available for this condition. Although medical treatment can be effective to close small clefts, surgery is needed in most patients to restore ocular pressure.

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Authors and Affiliations

  1. Department of Ophthalmology, University Hospital of Henares, Américo Castro 102 6ºA, 28050, Coslada, Madrid, Spain

    Julio González-Martín-Moro, Fernando Gómez-Sanz & Jesús Zarallo-Gallardo

  2. University Francisco de Vitoria, Madrid, Spain

    Julio González-Martín-Moro & Jesús Zarallo-Gallardo

  3. Department of Ophthalmology, University Hospital Ramón y Cajal, Madrid, Spain

    Inés Contreras-Martín & Francisco José Muñoz-Negrete

  4. Department of Surgery, Alcalá de Henares University, Madrid, Spain

    Francisco José Muñoz-Negrete

  5. Complutense University School of Optometry, Madrid, Spain

    Fernando Gómez-Sanz

Authors
  1. Julio González-Martín-Moro
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  2. Inés Contreras-Martín
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  3. Francisco José Muñoz-Negrete
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  4. Fernando Gómez-Sanz
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  5. Jesús Zarallo-Gallardo
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Correspondence to Julio González-Martín-Moro.

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Julio González Martín-Moro, Inés Contreras Martín, Francisco José Muñoz Negrete, Fernando Gómez Sanz, and Jesús Zarallo Gallardo have no financial or proprietary interest in a product, method, or material described herein.

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González-Martín-Moro, J., Contreras-Martín, I., Muñoz-Negrete, F.J. et al. Cyclodialysis: an update. Int Ophthalmol 37, 441–457 (2017). https://doi.org/10.1007/s10792-016-0282-8

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  • DOI: https://doi.org/10.1007/s10792-016-0282-8

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