Argon laser photocoagulation seems to be as good as surgical direct cyclopexy. Considering cost, time and possible complications of surgical direct cyclopexy, Argon laser can be more beneficial than surgical direct cyclopexy in small-size cyclodialysis cleft below 1.5 clock-hours.

  • Argon laser photocoagulation for cyclodialysis repair was performed in 7 eyes of 7 patients with a small-size cyclodialysis cleft.
  • Preoperatively, the mean minimum angle of resolution (log MAR) best-corrected visual acuity (BCVA) (standard deviation, SD) was 0.7 and 1.1 and mean intraocular pressure (IOP) was 4.4 mmHg and 3.0 mmHg in Argon laser group and surgical direct cyclopexy group.
  • Postoperatively, the mean log MAR BCVA was 0.0 (0.1) and 0.2 (0.3) and mean IOP was 14.5 (3.1) mmHg and 16.8 (2.5) mmHg.
  • No significant differences in preoperative and postoperative clinical characteristics were shown between Argon laser photocoagulation group and surgical direct cyclopexy group.
Jong Chul Han et al, Long-term outcomes of argon laser photocoagulation in small size cyclodialysis cleft, BMC Ophthalmology (2015) 15:123 DOI 10.1186/s12886-015-0113-0.

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