Dr. MANISHA AGARWAL

Abstract

A 14 year old boy with diminution of vision in the right eye to 6/24,N24 following an injury with a badminton racket 4 months back. The applanation tonometry recorded an IOP of 2 mm of Hg in the right eye. There was a subluxated lens with an evidence of 360 degree cyclodialysis cleft on gonioscopy. There was hypotonus maculopathy with a hyperemic swollen disc. The boy underwent pars plana lensectomy and anterior vitrectomy and intraoperative gonioscopy to confirm the extent of the cyclodialysis cleft. This was followed by the sewing machine technique of repairing the cyclodialysis cleft using a 26 gauge needle,30 gauge needle and 10-0 prolene suture.

Follow up at 12 weeks the IOP was 18 mm of Hg and the best corrected visual acuity was 6/9,N6 with +11 D sphere correction.

This video shows the novel Sewing machine technique of “360 degree Cyclodialysis cleft repair”