Features and management of traumatic cyclodialysis combined with secondary glaucoma

Objective To investigate the clinical features of cyclodialysis cleft combined with ocular hypertension after trauma. Methods 14 case （14 eyes） reports were retrospectively reviewed, which attended in the department of ophthalmology of Beijing Tongren Hospital from April 2004 to March 2008. The recruit criteria was defined as that both eyclodialysis cleft and high intraocular pressure （IOP） can be confirmed at presentation. The etiology and clinical features, as well as the management of these cases were evaluated. Results 6 out of 14 eases caused by firecracker, the lOP ranges from 22 mmHg to 73 mmHg at presentation, the time from ocular trauma to onset of ocular hypertension ranged from one day to 6 weeks. 9 cases complicated with traumatic cataract, 8 cases presented with hyphema, 8 cases were found subluxatiou of lens, anterior angle recess were confirmed in 7 cases, 11 out of 14 cases were performed on varied surgical interventions, 7 out of the 11 cases underwent cyclopexy. Conclusion Firecracker was a predominant cause, most frequent signs accompanied were hyphema, the combined ocular hypertension presented at varied time after suffering. Longer duration of follow - up, as well as individual management were suggested, in some circumstances, cyclopexy is not absolutely required. Key words: cyclodialysis, traumatic ;  glaucoma, secondary;  clinical features ;  management