{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T19:15:06Z","timestamp":1792782906204,"version":"4.5.0"},"reference-count":15,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:00:00Z","timestamp":1777507200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:00:00Z","timestamp":1777507200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"JSPS KAKENHI","award":["24K1280"],"award-info":[{"award-number":["24K1280"]}]},{"name":"The University of Tokyo","id":[{"id":"https:\/\/ror.org\/057zh3y96","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Jpn J Ophthalmol"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the safety and efficacy of a novel double-encircling continuous suture technique for the surgical repair of complete (360\u00b0) cyclodialysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study design<\/jats:title>\n                    <jats:p>Retrospective interventional case series.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Medical records of seven consecutive eyes from seven patients with complete cyclodialysis treated at the University of Tokyo Hospital between 2022 and 2025 were retrospectively reviewed. The extent of cyclodialysis and postoperative anatomical outcomes were assessed using anterior segment optical coherence tomography (OCT). Intraocular pressure (IOP) and best-corrected visual acuity (BCVA) were recorded both pre- and post-operatively. The surgical technique consisted of placing two laps of encircling continuous 10-0 polypropylene sutures at 3\u20134 mm and 2\u20133 mm posterior to the limbus. In phakic eyes, phacoemulsification with intraocular lens and capsular tension ring implantation were performed concurrently.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Four men and three women with a mean age of 43.6 \u00b1 25.4 years were included. Cyclodialysis resulted from blunt trauma (n = 3) or surgical complications (n = 4). Preoperative IOP ranged from 2 to 8 mmHg, and hypotonic maculopathy was observed in all cases. Postoperatively, anatomical reattachment of the ciliary body and resolution of hypotony were achieved in six of seven eyes (85.7%). All eyes demonstrated improved BCVA, though the improvement depended on comorbid conditions such as glaucoma, pathologic myopia, and bullous keratopathy. IOP transiently elevated postoperatively, and additional glaucoma surgery was necessary in two cases with a history of glaucoma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Reproducible safety and efficacy were confirmed for the double-encircling continuous suture technique in repairing complete cyclodialysis, yielding anatomical success and functional improvement.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s10384-026-01367-8","type":"journal-article","created":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T07:02:24Z","timestamp":1777532544000},"page":"1201-1207","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Double-encircling continuous suture technique for complete cyclodialysis: a consecutive case series"],"prefix":"10.1007","volume":"70","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5995-7438","authenticated-orcid":false,"given":"Takashi","family":"Ueta","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rei","family":"Sakata","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megumi","family":"Honjo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,4,30]]},"reference":[{"key":"1367_CR1","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, G\u00f3mez-Sanz F, Zarallo-Gallardo J. Cyclodialysis: an update. Int Ophthalmol. 2017;37:441\u201357.","journal-title":"Int Ophthalmol"},{"key":"1367_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. Cyclodialysis: an updated approach to surgical strategies. Acta Ophthalmol. 2019;97:744\u201351.","journal-title":"Acta Ophthalmol"},{"key":"1367_CR3","doi-asserted-by":"publisher","first-page":"639","DOI":"10.1111\/aos.13463","volume":"95","author":"C Wang","year":"2017","unstructured":"Wang C, Peng XY, You QS, Liu Y, Pang XQ, Zheng PF, et al. Internal cyclopexy for complicated traumatic cyclodialysis cleft. Acta Ophthalmol. 2017;95:639\u201342.","journal-title":"Acta Ophthalmol"},{"key":"1367_CR4","doi-asserted-by":"publisher","DOI":"10.1186\/s12886-019-1274-z","volume":"19","author":"H Li","year":"2019","unstructured":"Li H, Cai J, Li X. Continuous ab interno repairing of traumatic cyclodialysis cleft using a 30-gauge needle in severe ocular trauma: a clinical observation. BMC Ophthalmol. 2019;19:266.","journal-title":"BMC Ophthalmol"},{"key":"1367_CR5","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. The evaluation and surgical management of cyclodialysis clefts that have failed to respond to conservative management. Br J Ophthalmol. 2014;98:544\u20139.","journal-title":"Br J Ophthalmol"},{"key":"1367_CR6","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, Kanaya R, Chin S, Ishida S. Surgical outcomes of partial ciliary body direct suturing under the scleral flap for traumatic cyclodialysis cleft: a five-case series. Eur J Ophthalmol. 2022;32:3712\u20139.","journal-title":"Eur J Ophthalmol"},{"key":"1367_CR7","first-page":"1045","volume":"66","author":"W Aixinjueluo","year":"2012","unstructured":"Aixinjueluo W, Mishima K, Karakawa A, Aihara M. Minimally invasive small-incision transscleral suturing of ciliary body was effective in a case of long-standing traumatic hypotony. Rinsho Ganka. 2012;66:1045\u201351 ((in Japanese)).","journal-title":"Rinsho Ganka"},{"issue":"Suppl 1","key":"1367_CR8","doi-asserted-by":"publisher","first-page":"S177","DOI":"10.1097\/IAE.0000000000002091","volume":"39","author":"DL Feiler","year":"2019","unstructured":"Feiler DL, Browne AW, Rachitskaya AV, Aban M, Sonnie C, Hayden-Loreck BC, et al. Indirect cyclopexy for repair of cyclodialysis clefts. Retina. 2019;39(Suppl 1):S177\u201381.","journal-title":"Retina"},{"key":"1367_CR9","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, Salinas C, Mateo C, Garcia-Arum\u00ed J, et al. Cyclodialysis induced persistent hypotony: surgical management with vitrectomy and endotamponade. Retina. 2013;33:1540\u20136.","journal-title":"Retina"},{"key":"1367_CR10","doi-asserted-by":"publisher","DOI":"10.1155\/2020\/3742306","volume":"2020","author":"A Wang","year":"2020","unstructured":"Wang A, Zhao Z. Vitrectomy with air endotamponade for traumatic cyclodialysis. J Ophthalmol. 2020;2020:3742306.","journal-title":"J Ophthalmol"},{"key":"1367_CR11","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajoc.2020.100876","volume":"20","author":"DS Portney","year":"2020","unstructured":"Portney DS, Michelson SJ, Besirli CG, Shah M. Cryotherapy for the management of refractory hypotony secondary to post-goniotomy cyclodialysis cleft. Am J Ophthalmol Case Rep. 2020;20:100876.","journal-title":"Am J Ophthalmol Case Rep"},{"key":"1367_CR12","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. Encircling scleral buckling for traumatic severe hypotony. Ophthalmic Surg Lasers Imaging Retina. 2019;51:58\u201363.","journal-title":"Ophthalmic Surg Lasers Imaging Retina"},{"key":"1367_CR13","doi-asserted-by":"publisher","DOI":"10.1155\/2020\/6594170","volume":"2020","author":"T Baba","year":"2020","unstructured":"Baba T, Yokouchi H, Yamamoto S. Concurrent phacoemulsification and encircling for hypotony maculopathy after blunt trauma. Case Rep Med. 2020;2020:6594170.","journal-title":"Case Rep Med"},{"key":"1367_CR14","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, Zhang M, Ji Y, Chen J, et al. Cyclodialysis cleft repair and cataract management by phacoemulsification combined with internal tamponade using modified capsular tension ring insertion. Graefes Arch Clin Exp Ophthalmol. 2018;256:2369\u201376.","journal-title":"Graefes Arch Clin Exp Ophthalmol"},{"key":"1367_CR15","doi-asserted-by":"publisher","first-page":"278","DOI":"10.1097\/ICB.0000000000001546","volume":"19","author":"T Ueta","year":"2025","unstructured":"Ueta T, Matsuura T, Totsuka K, Sugimoto K, Araki F, Toyama T, et al. Encircling continuous suture technique for the management of extensive traumatic cyclodialysis: a case report. Retin Cases Brief Rep. 2025;19:278\u201382.","journal-title":"Retin Cases Brief Rep."}],"container-title":["Japanese Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10384-026-01367-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10384-026-01367-8","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10384-026-01367-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T05:19:16Z","timestamp":1790399956000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10384-026-01367-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,30]]},"references-count":15,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["1367"],"URL":"https:\/\/doi.org\/10.1007\/s10384-026-01367-8","relation":{},"ISSN":["0021-5155","1613-2246"],"issn-type":[{"value":"0021-5155","type":"print"},{"value":"1613-2246","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,30]]},"assertion":[{"value":"6 October 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 March 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"30 April 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"T. Ueta, None; R. Sakata, None; M. Honjo, None.","order":1,"name":"Ethics","label":"Conflicts of interest","group":{"name":"EthicsHeading","label":"Declarations"}}]}}