J Korean Ophthalmol Soc.
2025 Jun;66(6):275-282. 10.3341/jkos.2025.66.6.275.
Swept Source Anterior Segment Optical Coherence Tomography in Diagnosing and Monitoring Cyclodialysis: Three Case Reports
- Affiliations
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- 1Department of Ophthalmology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan, Korea
- 2Department of Ophthalmology, Pusan National University School of Medicine, Busan, Korea
- 3Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, Korea
- KMID: 2568456
- DOI: http://doi.org/10.3341/jkos.2025.66.6.275
Abstract
- Purpose
To report three cases of cyclodialysis diagnosed and monitored using swept-source anterior segment optical coherence tomography (SOCT).
Case Summary
(Case 1) An 11-year-old child with acute hypotony following ocular trauma was diagnosed with subtle cyclodialysis clefts using SOCT, which were difficult to detect on gonioscopy. Visual acuity, intraocular pressure (IOP), and cyclodialysis improved after treatment with cycloplegic agents. (Case 2) A 60-year-old male with chronic hypotony and extensive cyclodialysis following a fall underwent indirect cyclopexy. Post-treatment improvement in cyclodialysis was monitored using SOCT. (Case 3) A 67-year-old patient with uncontrolled hypotony and a collapsed anterior chamber after trabeculectomy revision surgery was diagnosed with cyclodialysis using SOCT. Visual acuity, IOP, filtering bleb, and cyclodialysis improved after treatment with cycloplegic agents.
Conclusions
SOCT provides accurate identification and visualization of cyclodialysis clefts, making it useful for evaluating the extent of cyclodialysis and monitoring post-treatment progress.
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