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Cyclodialysis cleft

MedGen UID:: 695079
•Concept ID:: C1271402
•: Finding

Synonyms:	Cleft, Cyclodialysis; Cyclodialysis Cleft; Cyclodialysis Clefts
SNOMED CT:	Cyclodialysis cleft (392137000)

Definition

Finding of a separation of the CILIARY BODY in the SCLERAL SPUR region, creating aqueous outflow from the ANTERIOR CHAMBER into suprachoroidal space between the CHOROID and the SCLERA. Persistent cyclodialysis clefts may be associated with OCULAR HYPOTENSION and OPTIC DISC EDEMA. [from MeSH]

Term Hierarchy

GTR
MeSH

CClinical test, RResearch test, OOMIM, GGeneReviews, VClinVar

CROGVCyclodialysis cleft

Disease
- Disorder by Site
  - Disorder of orbital region
    - Uveal disorder
      - Choroid Disorder
        Choroidal effusion
        Cyclodialysis cleft

Professional guidelines

PubMed

Traumatic Maculopathy with Massive Subretinal Hemorrhage after Closed-Globe Injuries: Associated Findings, Management, and Visual Outcomes.

Chen KJ, Sun MH, Sun CC, Wang NK, Hou CH, Wu AL, Wu WC, Lai CC
Ophthalmol Retina 2019 Jan;3(1):53-60. Epub 2018 Aug 25 doi: 10.1016/j.oret.2018.08.007. PMID: 30935658

See all (1)

Recent clinical studies

Etiology

Persistent Hypotony and Annular Ciliochoroidal Detachment After Microhook Ab Interno Trabeculotomy.

Ishida A, Mochiji M, Manabe K, Matsuoka Y, Tanito M
J Glaucoma 2020 Sep;29(9):807-812. doi: 10.1097/IJG.0000000000001560. PMID: 32496462

Combined Ab Externo Cyclopexy and Cryopexy in Cyclodialysis Cleft Repair.

Liu X, Thung EG, Caprioli J, Law SK
J Glaucoma 2019 Jun;28(6):568-574. doi: 10.1097/IJG.0000000000001239. PMID: 30882772

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

Chen J, Jing Q, Gao W, Zhang M, Ji Y, Chen J, Jiang Y, Lu Y
Graefes Arch Clin Exp Ophthalmol 2018 Dec;256(12):2369-2376. Epub 2018 Sep 29 doi: 10.1007/s00417-018-4149-8. PMID: 30267206 Free PMC Article

Internal cyclopexy for complicated traumatic cyclodialysis cleft.

Wang C, Peng XY, You QS, Liu Y, Pang XQ, Zheng PF, Jonas JB
Acta Ophthalmol 2017 Sep;95(6):639-642. Epub 2017 Jun 20 doi: 10.1111/aos.13463. PMID: 28631430

Inadvertent cyclodialysis cleft.

Aminlari A
Ophthalmic Surg 1993 May;24(5):331-5. PMID: 8515950

See all (26)

Diagnosis

Cyclodialysis Cleft and Hypotony Following Combined Phacoemulsification and Excisional Goniotomy with the Kahook Dual Blade.

Şimşek D, Wagner I, Draper C, Şimşek T, Dorairaj S
Turk J Ophthalmol 2023 Aug 19;53(4):257-260. doi: 10.4274/tjo.galenos.2023.60963. PMID: 37602674 Free PMC Article

Posttraumatic Ocular Hypotony Through Epithelial Downgrowth.

Heinzelmann J, Schober C, Huth A, Siebolts U, Viestenz A
Klin Monbl Augenheilkd 2022 Feb;239(2):191-195. Epub 2021 Feb 4 doi: 10.1055/a-1332-1734. PMID: 33540462

Internal cyclopexy for complicated traumatic cyclodialysis cleft.

Wang C, Peng XY, You QS, Liu Y, Pang XQ, Zheng PF, Jonas JB
Acta Ophthalmol 2017 Sep;95(6):639-642. Epub 2017 Jun 20 doi: 10.1111/aos.13463. PMID: 28631430

Cyclodialysis cleft: causes and repair.

Ioannidis AS, Barton K
Curr Opin Ophthalmol 2010 Mar;21(2):150-4. doi: 10.1097/ICU.0b013e3283366a4d. PMID: 20051856

Ocular hypotony: a review.

Fine HF, Biscette O, Chang S, Schiff WM
Compr Ophthalmol Update 2007 Jan-Feb;8(1):29-37. PMID: 17394757

See all (39)

Therapy

Cyclodialysis Cleft and Hypotony Following Combined Phacoemulsification and Excisional Goniotomy with the Kahook Dual Blade.

Şimşek D, Wagner I, Draper C, Şimşek T, Dorairaj S
Turk J Ophthalmol 2023 Aug 19;53(4):257-260. doi: 10.4274/tjo.galenos.2023.60963. PMID: 37602674 Free PMC Article

Safety profile of minimally invasive glaucoma surgery.

Vinod K, Gedde SJ
Curr Opin Ophthalmol 2021 Mar 1;32(2):160-168. doi: 10.1097/ICU.0000000000000731. PMID: 33315726

Combined Ab Externo Cyclopexy and Cryopexy in Cyclodialysis Cleft Repair.

Liu X, Thung EG, Caprioli J, Law SK
J Glaucoma 2019 Jun;28(6):568-574. doi: 10.1097/IJG.0000000000001239. PMID: 30882772

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

Ocular hypotony: a review.

Fine HF, Biscette O, Chang S, Schiff WM
Compr Ophthalmol Update 2007 Jan-Feb;8(1):29-37. PMID: 17394757

See all (43)

Prognosis

Management of cyclodialysis cleft with transscleral cryotherapy.

Castillo Capponi F, Romera Romero P, Broc Iturralde L, Loscos Arenas J
Arch Soc Esp Oftalmol (Engl Ed) 2022 Mar;97(3):165-167. Epub 2021 May 15 doi: 10.1016/j.oftale.2021.01.003. PMID: 35248398

Posttraumatic Ocular Hypotony Through Epithelial Downgrowth.

Heinzelmann J, Schober C, Huth A, Siebolts U, Viestenz A
Klin Monbl Augenheilkd 2022 Feb;239(2):191-195. Epub 2021 Feb 4 doi: 10.1055/a-1332-1734. PMID: 33540462

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

Ocular hypotony: a review.

Fine HF, Biscette O, Chang S, Schiff WM
Compr Ophthalmol Update 2007 Jan-Feb;8(1):29-37. PMID: 17394757

Inadvertent cyclodialysis cleft.

Aminlari A
Ophthalmic Surg 1993 May;24(5):331-5. PMID: 8515950

See all (18)

Clinical prediction guides

Cyclodialysis Cleft and Hypotony Following Combined Phacoemulsification and Excisional Goniotomy with the Kahook Dual Blade.

Şimşek D, Wagner I, Draper C, Şimşek T, Dorairaj S
Turk J Ophthalmol 2023 Aug 19;53(4):257-260. doi: 10.4274/tjo.galenos.2023.60963. PMID: 37602674 Free PMC Article

Safety profile of minimally invasive glaucoma surgery.

Vinod K, Gedde SJ
Curr Opin Ophthalmol 2021 Mar 1;32(2):160-168. doi: 10.1097/ICU.0000000000000731. PMID: 33315726

Persistent Hypotony and Annular Ciliochoroidal Detachment After Microhook Ab Interno Trabeculotomy.

Ishida A, Mochiji M, Manabe K, Matsuoka Y, Tanito M
J Glaucoma 2020 Sep;29(9):807-812. doi: 10.1097/IJG.0000000000001560. PMID: 32496462

Continuous ab interno repairing of traumatic cyclodialysis cleft using a 30-gauge needle in severe ocular trauma: a clinical observation.

Li H, Cai J, Li X
BMC Ophthalmol 2019 Dec 26;19(1):266. doi: 10.1186/s12886-019-1274-z. PMID: 31878971 Free PMC Article

Magnetic Resonance Imaging of Cyclodialysis Cleft Before and After Cyclopexy.

Jeong JH, Jeoung JW, Moon NJ
J Glaucoma 2017 Jan;26(1):e15-e18. doi: 10.1097/IJG.0000000000000438. PMID: 27599173

See all (11)