Featured Article for August 31, 2021
Cyclodialysis Clefts
A cyclodialysis cleft is a separation of the ciliary body from the scleral spur, creating a direct connection between the anterior chamber and the suprachoroidal space. Many will spontaneously close, but those that do not can cause chronic hypotony, resulting in hypotony maculopathy, optic disc edema, and decreased visual acuity. Treatment begins with conservative medical therapy, but when this fails, a wide range of laser and surgical procedures have been reported to be effective.