Bilateral cyclodialysis cleft following fire cracker injury managed by combined exocyclopexy and silicone oil endotamponade - An interesting case report

Cyclodialysis creates a direct communication between the anterior chamber and suprachoroidal space leading to ocular hypotony probably caused by an increased uveoscleral outflow and hyposecretion of the ciliary body. The sequelae of cyclodialysis include chronic ocular hypotony, anterior chamber shallowing, cataract, choroidal effusions, retinal and choroidal folds, hypotonus maculopathy, and ultimately loss of vision. Cyclodialysis clefts are a relatively rare condition usually caused by severe ocular trauma, and hence, the surgical repair techniques in the literature are limited. We present a case of post-traumatic bilateral cyclodialysis cleft with a successful outcome following combined exocyclopexy and silicone oil endotamponade.