Single-suture single-knot ab externo cyclopexy for post-traumatic cyclodialysis cleft

SurgeonXie Zhenggao

Department of Ophthalmology, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School

Main steps:

A laminar scleral flap incision parallel to the limbus was made 3.0 mm behind the limbus, ranging from 11:30 to 3:30. A 10-0 polypropylene straight needle docked into a 26-gauge needle was inserted into the anterior chamber 1.5-2.0 mm behind the corneal limbus 1/2 hour away from the origin of ciliary body dissociation. The needle passed through the opposite corneal auxiliary incision then entered the anterior chamber about 2.0 mm away from the insertion point and passed out from the sclera surface. The pass was repeated again at a distance of 0.2 o’clock through the ciliary body and sclera. Then the loops were pulled out and one end of the suture passing through the loops. The above operations were repeated until the suture was completed, tie both ends of the suture, and bury the suture knot under the scleral flap. The scleral flap and conjunctival flap were sutured intermittently, and the transparent corneal incision was hydrated.

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Updated: February 17, 2025 — 8:34 am