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Anterior Segment Optical Coherence Tomography as a Diagnostic Tool for Cyclodialysis Clefts
Aránzazu Mateo-Montoya, MD;
Sylvain Dreifuss, MD
Arch Ophthalmol. 2009;127(1):109-110.
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Anterior segment optical coherence tomography (OCT) is a noninvasive, painless, noncontact technique that provides accurate and reproducible images. This technique correlates well with ultrasound biomicroscopy, allows observation of iridocorneal angle abnormalities in the presence of opaque media, and is easier to perform than ultrasound biomicroscopy.
A cyclodialysis cleft results from separation of the longitudinal ciliary muscle fibers from the scleral spur and establishes a new drainage pathway for aqueous humor between the anterior chamber and the suprachoroidal space. This new drainage channel increases uveoscleral outflow and may result in chronic ocular hypotonia; it is sometimes complicated by decreased visual acuity, a shallow anterior chamber, ciliochoroidal effusion, optic disc edema, retinal folds, hypotonus maculopathy, and engorgement and stasis of retinal veins.1
Slitlamp examination using a gonioscope has been the most common method used to confirm the existence of clefts. However, it cannot be used in . . . [Full Text of this Article] Report of a Case
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