Evidence map›Paper›PMID 41519793›Full record

ArticleInternational journal of retina and vitreous2026

Modified cyclodialysis suturing with sodium hyaluronate for traumatic choroidal avulsion and cyclodialysis: a retrospective study.

Xueyong Zhang, Yao Xu, Wenji Xu, Tianxu Feng, Zhenyu Li, Yiming Zhu, Yao Chen, Siqi Xiong

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In one paragraph

Article in International journal of retina and vitreous, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Xueyong ZhangEye Center of Xiangya Hospital, Central South University, No.87 Xiangya Street, Kaifu District, Changsha, Hunan, 410008, China.
Yao XuEye Center of Xiangya Hospital, Central South University, No.87 Xiangya Street, Kaifu District, Changsha, Hunan, 410008, China.
Wenji XuEye Center of Xiangya Hospital, Central South University, No.87 Xiangya Street, Kaifu District, Changsha, Hunan, 410008, China.
Tianxu FengEye Center of Xiangya Hospital, Central South University, No.87 Xiangya Street, Kaifu District, Changsha, Hunan, 410008, China.
Zhenyu LiEye Center of Xiangya Hospital, Central South University, No.87 Xiangya Street, Kaifu District, Changsha, Hunan, 410008, China.
Yiming ZhuEye Center of Xiangya Hospital, Central South University, No.87 Xiangya Street, Kaifu District, Changsha, Hunan, 410008, China.
Yao Chen *Eye Center of Xiangya Hospital, Central South University, No.87 Xiangya Street, Kaifu District, Changsha, Hunan, 410008, China. yaochen41@csu.edu.cn.
Siqi Xiong *Eye Center of Xiangya Hospital, Central South University, No.87 Xiangya Street, Kaifu District, Changsha, Hunan, 410008, China. petersage1221@126.com.

Funding

National Natural Science Foundation of China 81974137Natural Science Foundation of Hunan Province 2019JJ40507
6 · The paper itself

Abstract

backgroundTraumatic choroidal avulsion combined with cyclodialysis cleft is a severe form of ocular trauma that frequently leads to profound vision loss and persistent hypotony. Conventional surgical approaches often fail to achieve stable anatomical reattachment. This study aimed to evaluate the efficacy and safety of a modified cyclodialysis suturing technique combined with sodium hyaluronate injection for repairing traumatic choroidal avulsion and cyclodialysis cleft.

methodsThis retrospective study included 12 patients (mean age: 47.17 ± 15.84 years) with choroidal avulsion and ciliary body detachment who underwent vitrectomy, sodium hyaluronate injection into the vitreous cavity prior to cyclodialysis repair to facilitate choroidal repositioning, and modified internal cyclopexy. Main outcome measures included anatomical reattachment rate of the choroid and ciliary body (assessed by ultrasound biomicroscopy), best-corrected visual acuity, intraocular pressure, and surgical complications. Follow-up was at least 6 months.

resultsAnatomical success (complete reattachment of choroid and closure of cyclodialysis cleft) was achieved in 10 of 12 eyes (83.3%). The best-corrected visual acuity improved significantly from 2.90 ± 0.04 logMAR preoperatively to 2.60 ± 0.13 at 6 months (p = 0.019). Intraocular pressure increased from 8.92 ± 1.68 mmHg to 12.25 ± 2.96 mmHg at 6 months (p = 0.003). No serious intraoperative or postoperative complications occurred.

conclusionThe modified cyclodialysis suturing technique combined with sodium hyaluronate injection is a safe and effective approach for repairing traumatic choroidal avulsion and cyclodialysis cleft, offering high anatomical success and significant improvement in visual acuity and intraocular pressure. This method provides a valuable surgical option for this challenging condition.

Indexed as

ChoroidCiliary bodyTrauma

Identifiers

PMID41519793
PMCPMC12874734

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