{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T07:45:08Z","timestamp":1785829508868,"version":"3.56.0"},"reference-count":50,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T00:00:00Z","timestamp":1785801600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T00:00:00Z","timestamp":1785801600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100003483","name":"Hebrew University of Jerusalem","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100003483","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Graefes Arch Clin Exp Ophthalmol"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Cyclodialysis cleft (CDC) is an uncommon but potentially vision-threatening condition characterized by separation of the ciliary body from the scleral spur, often causing hypotony and maculopathy. While small clefts may resolve with conservative or minor treatment, large traumatic CDCs in phakic eyes remain challenging due to limited evidence on optimal management. This systematic review aims to evaluate current surgical approaches for repairing large traumatic CDCs in phakic eyes, focusing on success rates, complication profiles, and the impact of treatment timing on outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A systematic search of three databases was conducted in November 2023, following PRISMA guidelines, to identify peer-reviewed studies and case reports published since 2000. Eligible cases included patients older than 14 years with phakic eyes who underwent treatment for traumatic CDCs involving\u2009\u2265\u2009180\u00b0. The risk of bias was evaluated using the JBI Critical Appraisal Checklist for Case Reports. Cases were categorized based on primary repair method and compared according to outcomes and complications. Registration was not applicable.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We retrieved 284 publications, out of which 23 met the inclusion criteria, representing 43 eligible cases. No randomized controlled or interventional studies were identified. Mean age was 39 years, average baseline intraocular pressure (IOP) was 3.82\u2009\u00b1\u20092.31 mmHg, and mean cleft size was 8.6\u2009\u00b1\u20092.61 clock-hours. The two most common treatment approaches were direct cyclopexy and vitrectomy with or without additions. Successful cleft closure after a single intervention was achieved in 32 cases (74.4%). Vitrectomy-based procedures and direct cyclopexy produced similar postoperative IOP levels, although IOP spikes were more common after direct cyclopexy. Cataract alone did not influence treatment selection, whereas lens instability often necessitated an internal approach. Delayed intervention in eyes with intermediate baseline visual acuity did not appear to worsen outcomes, though late-treated eyes underwent more interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Large traumatic CDCs in phakic eyes were usually managed either externally by cyclopexy or internally with vitrectomy-based procedures, with favorable outcomes in both approaches. The available evidence on treatment approaches is limited by publication bias and inconsistent reporting. Future standardized, structured case reporting is essential to improve comparative evaluation and guide future management strategies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00417-026-07437-4","type":"journal-article","created":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T06:50:55Z","timestamp":1785826255000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Treatment approaches for large traumatic cyclodialysis clefts in phakic eyes: A systematic review and proposal for standardized reporting"],"prefix":"10.1007","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2314-9361","authenticated-orcid":false,"given":"Gil","family":"Neuman","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharon","family":"Braudo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noa","family":"Chetrit","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mordechai","family":"Goldberg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,8,4]]},"reference":[{"key":"7437_CR1","doi-asserted-by":"publisher","first-page":"963","DOI":"10.1159\/000527094","volume":"13","author":"Y Nagatomi","year":"2022","unstructured":"Nagatomi Y, Tagami M, Misawa N et al (2022) En Face Images Using Ultra-Widefield Optical Coherence Tomography in 2 Cases of Traumatic Hypotony Maculopathy before and after Surgical Intervention. Case Rep Ophthalmol 13:963\u2013969. https:\/\/doi.org\/10.1159\/000527094","journal-title":"Case Rep Ophthalmol"},{"key":"7437_CR2","doi-asserted-by":"publisher","first-page":"744","DOI":"10.1111\/aos.14210","volume":"97","author":"H Selvan","year":"2019","unstructured":"Selvan H, Gupta V, Gupta S (2019) Cyclodialysis: an updated approach to surgical strategies. Acta Ophthalmol 97:744\u2013751. https:\/\/doi.org\/10.1111\/aos.14210","journal-title":"Acta Ophthalmol"},{"key":"7437_CR3","doi-asserted-by":"publisher","first-page":"257","DOI":"10.2147\/OPTH.S29123","volume":"6","author":"S Trikha","year":"2012","unstructured":"Trikha S, Turnbull A, Agrawal S et al (2012) Management challenges arising from a traumatic 360 degree cyclodialysis cleft. Clin Ophthalmol 6:257\u2013260. https:\/\/doi.org\/10.2147\/OPTH.S29123","journal-title":"Clin Ophthalmol"},{"key":"7437_CR4","doi-asserted-by":"publisher","first-page":"322","DOI":"10.1016\/s0161-6420(95)31021-4","volume":"102","author":"M K\u00fcchle","year":"1995","unstructured":"K\u00fcchle M, Naumann GOH (1995) Direct Cyclopexy for Traumatic Cyclodialysis with Persisting Hypotony. Ophthalmology 102:322\u2013333. https:\/\/doi.org\/10.1016\/s0161-6420(95)31021-4","journal-title":"Ophthalmology"},{"key":"7437_CR5","doi-asserted-by":"publisher","first-page":"201","DOI":"10.1111\/ceo.13378","volume":"47","author":"M Popovic","year":"2019","unstructured":"Popovic M, Shareef S, Mura JJ et al (2019) Cyclodialysis cleft repair: A multi-centred, retrospective case series. Clin Exp Ophthalmol 47:201\u2013211. https:\/\/doi.org\/10.1111\/ceo.13378","journal-title":"Clin Exp Ophthalmol"},{"key":"7437_CR6","doi-asserted-by":"publisher","first-page":"625","DOI":"10.1097\/ICB.0000000000001045","volume":"16","author":"G Rios-Nequis","year":"2022","unstructured":"Rios-Nequis G, Flores-Villalobos EO, Ramirez-Estudillo A et al (2022) VITRECTOMY\u2009+\u2009TRANSSCLERAL DIODE LASER CYCLOPEXY TREATMENT FOR 360\u00b0 TRAUMATIC CYCLODIALYSIS AND HYPOTONY MACULOPATHY: CASE REPORT. Retin Cases Brief Rep 16:625\u2013630. https:\/\/doi.org\/10.1097\/ICB.0000000000001045","journal-title":"Retin Cases Brief Rep"},{"key":"7437_CR7","doi-asserted-by":"publisher","first-page":"1347","DOI":"10.1038\/eye.2013.183","volume":"27","author":"P Agrawal","year":"2013","unstructured":"Agrawal P, Shah P (2013) Long-term outcomes following the surgical repair of traumatic cyclodialysis clefts. Eye (Lond) 27:1347\u20131352. https:\/\/doi.org\/10.1038\/eye.2013.183","journal-title":"Eye (Lond)"},{"key":"7437_CR8","doi-asserted-by":"publisher","first-page":"3712","DOI":"10.1177\/11206721221083718","volume":"32","author":"R Kijima","year":"2022","unstructured":"Kijima R, Shinmei Y, Shinkai A et al (2022) Surgical outcomes of partial ciliary body direct suturing under the scleral flap for traumatic cyclodialysis cleft: A five-case series. Eur J Ophthalmol 32:3712\u20133719. https:\/\/doi.org\/10.1177\/11206721221083718","journal-title":"Eur J Ophthalmol"},{"key":"7437_CR9","doi-asserted-by":"publisher","unstructured":"Page MJ, McKenzie JE, Bossuyt PM et al (2021) The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. https:\/\/doi.org\/10.1136\/bmj.n71","DOI":"10.1136\/bmj.n71"},{"key":"7437_CR10","doi-asserted-by":"crossref","unstructured":"Moola S, Munn Z, Tufanaru C et al (2020) In: Aromataris E, Munn Z, Editors (eds) Chap. 7: Systematic reviews of etiology and risk. JBI Manual for Evidence Synthesis. JBI","DOI":"10.46658\/JBIRM-17-06"},{"key":"7437_CR11","doi-asserted-by":"publisher","first-page":"55","DOI":"10.1002\/jrsm.1411","volume":"12","author":"LA McGuinness","year":"2021","unstructured":"McGuinness LA, Higgins JPT (2021) Risk-of\u2010bias VISualization (robvis): An R package and Shiny web app for visualizing risk\u2010of\u2010bias assessments. Res Synthesis Methods 12:55\u201361. https:\/\/doi.org\/10.1002\/jrsm.1411","journal-title":"Res Synthesis Methods"},{"key":"7437_CR12","unstructured":"R Core Team (2022) R: A Language and. Environment for Statistical Computing"},{"key":"7437_CR13","doi-asserted-by":"publisher","first-page":"570","DOI":"10.32614\/RJ-2021-053","volume":"13","author":"DD Sjoberg","year":"2021","unstructured":"Sjoberg DD, Whiting K, Curry M et al (2021) Reproducible Summary Tables with the gtsummary Package. R J 13:570. https:\/\/doi.org\/10.32614\/RJ-2021-053","journal-title":"R J"},{"key":"7437_CR14","unstructured":"Wickham H (2016) ggplot2: Elegant Graphics for Data Analysis, 2nd ed. 2016. Springer International Publishing: Imprint: Springer, Cham"},{"key":"7437_CR15","unstructured":"Bach M, Visual Acuity Cheat Sheet for high and low vision. https:\/\/michaelbach.de\/sci\/acuity.html. Accessed 18 July 2025"},{"key":"7437_CR16","doi-asserted-by":"publisher","first-page":"152","DOI":"10.1097\/IAE.0000000000002772","volume":"43","author":"L Huang","year":"2023","unstructured":"Huang L, Zhang Q, Jin H (2023) Intrascleral sewing-machine technique: A Grooveless\/flapless cyclopexy technique for large traumatic Cyclodialysis cleft repairs in pars plana vitrectomy. Retina 43:152\u2013157. https:\/\/doi.org\/10.1097\/IAE.0000000000002772","journal-title":"Retina"},{"key":"7437_CR17","doi-asserted-by":"publisher","first-page":"121","DOI":"10.1186\/s13256-020-02448-z","volume":"14","author":"T Nagashima","year":"2020","unstructured":"Nagashima T, Kohmoto R, Fukumoto M et al (2020) Ciliary body suturing using intraocular irrigation for traumatic cyclodialysis: two case reports. J Med Case Rep 14:121. https:\/\/doi.org\/10.1186\/s13256-020-02448-z","journal-title":"J Med Case Rep"},{"key":"7437_CR18","doi-asserted-by":"publisher","first-page":"6594170","DOI":"10.1155\/2020\/6594170","volume":"2020","author":"T Baba","year":"2020","unstructured":"Baba T, Yokouchi H, Yamamoto S (2020) Concurrent Phacoemulsification and Encircling for Hypotony Maculopathy after Blunt Trauma. Case Rep Med 2020:6594170. https:\/\/doi.org\/10.1155\/2020\/6594170","journal-title":"Case Rep Med"},{"key":"7437_CR19","doi-asserted-by":"publisher","first-page":"1","DOI":"10.30560\/mhs.v3n1p1","volume":"3","author":"G Sood","year":"2020","unstructured":"Sood G, Rajendran V, Sharma T, Raman R (2020) Traumatic cyclodialysis cleft surgical management using encirclage and cryotherapy: a novel approach. Mod Health Sci 3:1\u20131","journal-title":"Mod Health Sci"},{"key":"7437_CR20","doi-asserted-by":"publisher","first-page":"197","DOI":"10.35119\/myjo.v1i3.63","volume":"1","author":"ICE Yoo","year":"2019","unstructured":"Yoo ICE, Hsien YM, Mustapha M, Hamzah JC (2019) 23-G trocar-assisted cyclopexy: scleral sparing method as a new modality for large cyclodialysis repair. Malaysian J Ophthalmol 1:197\u2013206","journal-title":"Malaysian J Ophthalmol"},{"key":"7437_CR21","doi-asserted-by":"publisher","first-page":"266","DOI":"10.1186\/s12886-019-1274-z","volume":"19","author":"H Li","year":"2019","unstructured":"Li H, Cai J, Li X (2019) Continuous ab interno repairing of traumatic cyclodialysis cleft using a 30-gauge needle in severe ocular trauma: a clinical observation. BMC Ophthalmol 19:266. https:\/\/doi.org\/10.1186\/s12886-019-1274-z","journal-title":"BMC Ophthalmol"},{"key":"7437_CR22","doi-asserted-by":"publisher","first-page":"58","DOI":"10.3928\/23258160-20191211-09","volume":"51","author":"EB L\u00e1vaque","year":"2019","unstructured":"L\u00e1vaque EB, Iros M, Real JP, Zambrano A (2019) Encircling Scleral Buckling for Traumatic Severe Hypotony. Ophthalmic Surg Lasers Imaging Retina 51:58\u201363. https:\/\/doi.org\/10.3928\/23258160-20191211-09","journal-title":"Ophthalmic Surg Lasers Imaging Retina"},{"key":"7437_CR23","doi-asserted-by":"publisher","first-page":"1649","DOI":"10.18240\/ijo.2019.10.20","volume":"12","author":"B Chen","year":"2019","unstructured":"Chen B, Wang G-X, Zhang X, Yang H (2019) Scleral buckling combined with internal cyclopexy for severe traumatic cyclodialysis cleft in open globe injuries. Int J Ophthalmol 12:1649\u20131653. https:\/\/doi.org\/10.18240\/ijo.2019.10.20","journal-title":"Int J Ophthalmol"},{"key":"7437_CR24","doi-asserted-by":"publisher","first-page":"e284","DOI":"10.1097\/IJG.0000000000000334","volume":"25","author":"S Gupta","year":"2016","unstructured":"Gupta S, Sagar P, Gogia V et al (2016) Dual endotemponade for extensive long-standing cyclodialysis using sulcus-fixated Cionni ring and PCIOL. J Glaucoma 25:e284-287. https:\/\/doi.org\/10.1097\/IJG.0000000000000334","journal-title":"J Glaucoma"},{"key":"7437_CR25","doi-asserted-by":"publisher","first-page":"1540","DOI":"10.1097\/IAE.0b013e3182877a41","volume":"33","author":"MD Medeiros","year":"2013","unstructured":"Medeiros MD, Postorino M, Pall\u00e1s C et al (2013) Cyclodialysis induced persistent hypotony: surgical management with vitrectomy and endotamponade. Retina 33:1540\u20131546. https:\/\/doi.org\/10.1097\/IAE.0b013e3182877a41","journal-title":"Retina"},{"key":"7437_CR26","doi-asserted-by":"publisher","first-page":"175","DOI":"10.3928\/15428877-20110316-03","volume":"42","author":"M Rabinowitz","year":"2011","unstructured":"Rabinowitz M, Khator P, Shah CP et al (2011) Direct cyclopexy with a posterior infusion cannula. Ophthalmic Surg Lasers Imaging 42:175\u2013176. https:\/\/doi.org\/10.3928\/15428877-20110316-03","journal-title":"Ophthalmic Surg Lasers Imaging"},{"key":"7437_CR27","doi-asserted-by":"publisher","first-page":"414","DOI":"10.1136\/bjo.2008.146266","volume":"93","author":"P Ceruti","year":"2009","unstructured":"Ceruti P, Tosi R, Marchini G (2009) Gas tamponade and cyclocryotherapy of a chronic cyclodialysis cleft. Br J Ophthalmol 93:414\u2013416. https:\/\/doi.org\/10.1136\/bjo.2008.146266","journal-title":"Br J Ophthalmol"},{"key":"7437_CR28","first-page":"47","volume":"84","author":"CPTC L\u00c1SER","year":"2009","unstructured":"L\u00c1SER CPTC, TRANSESCLERAL D (2009) Post-traumatic cyclodialysis cleft treated with transscleral diode laser. Arch Soc Esp Oftalmol 84:47\u201350","journal-title":"Arch Soc Esp Oftalmol"},{"key":"7437_CR29","doi-asserted-by":"publisher","first-page":"1222","DOI":"10.1001\/archopht.126.9.1222","volume":"126","author":"J-M Hwang","year":"2008","unstructured":"Hwang J-M, Ahn K, Kim C et al (2008) Ultrasonic biomicroscopic evaluation of cyclodialysis before and after direct cyclopexy. Arch Ophthalmol 126:1222\u20131225. https:\/\/doi.org\/10.1001\/archopht.126.9.1222","journal-title":"Arch Ophthalmol"},{"key":"7437_CR30","doi-asserted-by":"publisher","first-page":"676","DOI":"10.1016\/j.ajo.2006.05.027","volume":"142","author":"PG Mardelli","year":"2006","unstructured":"Mardelli PG (2006) Closure of persistent cyclodialysis cleft using the haptics of the intraocular lens. Am J Ophthalmol 142:676\u2013678. https:\/\/doi.org\/10.1016\/j.ajo.2006.05.027","journal-title":"Am J Ophthalmol"},{"key":"7437_CR31","doi-asserted-by":"publisher","first-page":"855","DOI":"10.1007\/s00417-005-0134-0","volume":"244","author":"K Takaya","year":"2006","unstructured":"Takaya K, Suzuki Y, Nakazawa M (2006) Four cases of hypotony maculopathy caused by traumatic cyclodialysis and treated by vitrectomy, cryotherapy, and gas tamponade. Graefes Arch Clin Exp Ophthalmol 244:855\u2013858. https:\/\/doi.org\/10.1007\/s00417-005-0134-0","journal-title":"Graefes Arch Clin Exp Ophthalmol"},{"key":"7437_CR32","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1016\/j.jcrs.2005.05.035","volume":"32","author":"NSY Yuen","year":"2006","unstructured":"Yuen NSY, Hui SP, Woo DCF (2006) New method of surgical repair for 360-degree cyclodialysis. J Cataract Refract Surg 32:13\u201317. https:\/\/doi.org\/10.1016\/j.jcrs.2005.05.035","journal-title":"J Cataract Refract Surg"},{"key":"7437_CR33","doi-asserted-by":"publisher","DOI":"10.1002\/cl2.1230","author":"NR Haddaway","year":"2022","unstructured":"Haddaway NR, Page MJ, Pritchard CC, McGuinness LA (2022) PRISMA2020: an R package and Shiny app for producing PRISMA 2020-compliant flow diagrams, with interactivity for optimised digital transparency and Open Synthesis. Campbell Syst Rev. https:\/\/doi.org\/10.1002\/cl2.1230","journal-title":"Campbell Syst Rev"},{"key":"7437_CR34","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12134252","author":"X Zhang","year":"2023","unstructured":"Zhang X, Wang N, Zheng G et al (2023) A modified single-armed suture technique for traumatic cyclodialysis cleft with vitreoretinal injury. J Clin Med. https:\/\/doi.org\/10.3390\/jcm12134252","journal-title":"J Clin Med"},{"key":"7437_CR35","doi-asserted-by":"publisher","first-page":"1174","DOI":"10.1097\/IAE.0000000000002996","volume":"41","author":"A Wang","year":"2021","unstructured":"Wang A, Zhao Z (2021) Comparing vitrectomy, silicone oil endotamponade with\/without cyclopexy to treat cyclodialysis clefts with severe ocular trauma. Retina 41:1174\u20131181. https:\/\/doi.org\/10.1097\/IAE.0000000000002996","journal-title":"Retina"},{"key":"7437_CR36","doi-asserted-by":"publisher","first-page":"797","DOI":"10.1080\/02713683.2019.1698052","volume":"45","author":"R Zhao","year":"2020","unstructured":"Zhao R, Lou B, Yang Y et al (2020) Risk Factors Associated with Failure of Direct Cyclopexy in the Treatment of Small to Moderate Tramatic Cyclodialysis Clefts. Curr Eye Res 45:797\u2013804. https:\/\/doi.org\/10.1080\/02713683.2019.1698052","journal-title":"Curr Eye Res"},{"key":"7437_CR37","doi-asserted-by":"publisher","first-page":"2369","DOI":"10.1007\/s00417-018-4149-8","volume":"256","author":"J Chen","year":"2018","unstructured":"Chen J, Jing Q, Gao W et al (2018) Cyclodialysis cleft repair and cataract management by phacoemulsification combined with internal tamponade using modified capsular tension ring insertion. Graefes Arch Clin Exp Ophthalmol 256:2369\u20132376. https:\/\/doi.org\/10.1007\/s00417-018-4149-8","journal-title":"Graefes Arch Clin Exp Ophthalmol"},{"key":"7437_CR38","doi-asserted-by":"publisher","first-page":"639","DOI":"10.1111\/aos.13463","volume":"95","author":"C Wang","year":"2017","unstructured":"Wang C, Peng X-Y, You Q-S et al (2017) Internal cyclopexy for complicated traumatic cyclodialysis cleft. Acta Ophthalmol 95:639\u2013642. https:\/\/doi.org\/10.1111\/aos.13463","journal-title":"Acta Ophthalmol"},{"key":"7437_CR39","doi-asserted-by":"publisher","first-page":"544","DOI":"10.1136\/bjophthalmol-2013-303559","volume":"98","author":"AS Ioannidis","year":"2014","unstructured":"Ioannidis AS, Bunce C, Barton K (2014) The evaluation and surgical management of cyclodialysis clefts that have failed to respond to conservative management. Br J Ophthalmol 98:544\u2013549. https:\/\/doi.org\/10.1136\/bjophthalmol-2013-303559","journal-title":"Br J Ophthalmol"},{"key":"7437_CR40","doi-asserted-by":"publisher","first-page":"187","DOI":"10.3980\/j.issn.2222-3959.2013.02.16","volume":"6","author":"W-W Xu","year":"2013","unstructured":"Xu W-W, Huang Y-F, Wang L-Q, Zhang M-N (2013) Cyclopexy versus vitrectomy combined with intraocular tamponade for treatment of cyclodialysis. Int J Ophthalmol 6:187\u2013192. https:\/\/doi.org\/10.3980\/j.issn.2222-3959.2013.02.16","journal-title":"Int J Ophthalmol"},{"key":"7437_CR41","doi-asserted-by":"publisher","first-page":"81","DOI":"10.3980\/j.issn.2222-3959.2011.01.19","volume":"4","author":"J-G Yang","year":"2011","unstructured":"Yang J-G, Yao G-M, Li S-P et al (2011) Surgical treatment for 42 patients with traumatic annular ciliochoroidal detachment. Int J Ophthalmol 4:81\u201384. https:\/\/doi.org\/10.3980\/j.issn.2222-3959.2011.01.19","journal-title":"Int J Ophthalmol"},{"key":"7437_CR42","doi-asserted-by":"publisher","first-page":"54","DOI":"10.1186\/s40662-020-00219-x","volume":"7","author":"J Chen","year":"2020","unstructured":"Chen J, Lan L, Tang Y et al (2020) Placement of dual capsular tension rings for the combined management of traumatic cyclodialysis cleft and zonular dialysis. Eye Vis (Lond) 7:54. https:\/\/doi.org\/10.1186\/s40662-020-00219-x","journal-title":"Eye Vis (Lond)"},{"key":"7437_CR43","doi-asserted-by":"publisher","DOI":"10.1097\/j.jcro.0000000000000125","volume":"12","author":"S Braudo","year":"2024","unstructured":"Braudo S, Neuman G, Shitrit N, Goldberg M (2024) Challenging diagnosis and repair of an extensive cyclodialysis cleft. J Cataract Refract Surg Online Case Rep 12:e00125. https:\/\/doi.org\/10.1097\/j.jcro.0000000000000125","journal-title":"J Cataract Refract Surg Online Case Rep"},{"key":"7437_CR44","doi-asserted-by":"publisher","first-page":"441","DOI":"10.1007\/s10792-016-0282-8","volume":"37","author":"J Gonz\u00e1lez-Mart\u00edn-Moro","year":"2017","unstructured":"Gonz\u00e1lez-Mart\u00edn-Moro J, Contreras-Mart\u00edn I, Mu\u00f1oz-Negrete FJ et al (2017) Cyclodialysis: an update. Int Ophthalmol 37:441\u2013457. https:\/\/doi.org\/10.1007\/s10792-016-0282-8","journal-title":"Int Ophthalmol"},{"key":"7437_CR45","doi-asserted-by":"publisher","DOI":"10.1186\/s12886-020-01375-3","volume":"20","author":"H Bair","year":"2020","unstructured":"Bair H, Lin C-J, Lai C-T et al (2020) Intraocular endoscopy for the evaluation and treatment of hypotony due to a traumatic cyclodialysis: a case report. BMC Ophthalmol 20:117. https:\/\/doi.org\/10.1186\/s12886-020-01375-3","journal-title":"BMC Ophthalmol"},{"key":"7437_CR46","volume-title":"Ocular Hypotony","author":"ON Okonkwo","year":"2025","unstructured":"Okonkwo ON, Tripathy K (2025) Ocular Hypotony. In: StatPearls. StatPearls Publishing, Treasure Island (FL)"},{"key":"7437_CR47","doi-asserted-by":"publisher","first-page":"79","DOI":"10.1097\/IIO.0000000000000440","volume":"62","author":"Z Markatia","year":"2022","unstructured":"Markatia Z, Hudson J, Leung EH et al (2022) The Postvitrectomy Cataract. Int Ophthalmol Clin 62:79\u201391. https:\/\/doi.org\/10.1097\/IIO.0000000000000440","journal-title":"Int Ophthalmol Clin"},{"key":"7437_CR48","doi-asserted-by":"publisher","first-page":"824","DOI":"10.1080\/08820538.2021.1924799","volume":"36","author":"E Hernandez-Bogantes","year":"2021","unstructured":"Hernandez-Bogantes E, Abdala-Figuerola A, Olivo-Payne A et al (2021) Cataract Following Pars Plana Vitrectomy: A Review. Semin Ophthalmol 36:824\u2013831. https:\/\/doi.org\/10.1080\/08820538.2021.1924799","journal-title":"Semin Ophthalmol"},{"key":"7437_CR49","doi-asserted-by":"publisher","DOI":"10.1186\/s12886-025-04250-1","volume":"25","author":"F Wang","year":"2025","unstructured":"Wang F, Jin X, Chen X et al (2025) Intraoperative UBM-guided direct cyclopexy for traumatic cyclodialysis cleft: a four-case series. BMC Ophthalmol 25:479. https:\/\/doi.org\/10.1186\/s12886-025-04250-1","journal-title":"BMC Ophthalmol"},{"key":"7437_CR50","doi-asserted-by":"publisher","first-page":"274","DOI":"10.4103\/tjosr.tjosr_77_20","volume":"58","author":"V Senthilkumar","year":"2020","unstructured":"Senthilkumar V, Rajendrababu S (2020) Current concepts in the management of cyclodialysis. TNOA J Ophthalmic Sci Res 58:274. https:\/\/doi.org\/10.4103\/tjosr.tjosr_77_20","journal-title":"TNOA J Ophthalmic Sci Res"}],"container-title":["Graefe's Archive for Clinical and Experimental Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00417-026-07437-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00417-026-07437-4","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00417-026-07437-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T06:51:00Z","timestamp":1785826260000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00417-026-07437-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,4]]},"references-count":50,"alternative-id":["7437"],"URL":"https:\/\/doi.org\/10.1007\/s00417-026-07437-4","relation":{},"ISSN":["0721-832X","1435-702X"],"issn-type":[{"value":"0721-832X","type":"print"},{"value":"1435-702X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,4]]},"assertion":[{"value":"20 December 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 July 2026","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 July 2026","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 August 2026","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The authors declare no competing interests.","order":1,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}]}}