Imran Akram, Amjad Akram, Muhammad Akram.
Cyclodialysis in Aphakic glaucoma.
Pak J Ophthalmol Jan ;13(1):13-8.

This prospective study was carried out between September 1993 and October 1995. During this period we came across 48 patients of pupil block aphakic glaucoma in our clinic. Most of these had a blind red eye with no light perception and were thus considered to be beyond help. In 20 of these patients, however, we attempted to lower the IOP by performing cyclodialysis, since a presenting visual acuity of at least PL +ve in these patients suggested the possibility of salvaging some vision. Following surgery, corneal haze cleared in 16 patients. The procedure was successful in lowering the IOP in all patients, although 14 (70%) patients had an IOP between 18-21 mm Hg when last seen. One patient improved to 6/60, while two improved to 4/60. The remainder eventually had varying degrees of `finger-counting` vision. Cyclodialysis can be performed with relatively simple Instruments and we suggest that it should be attempted in selected cases of aphakic glaucoma.

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