{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T03:11:14Z","timestamp":1760238674218,"version":"build-2065373602"},"reference-count":18,"publisher":"MDPI AG","issue":"16","license":[{"start":{"date-parts":[[2022,8,9]],"date-time":"2022-08-09T00:00:00Z","timestamp":1660003200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>This study aimed to evaluate the usefulness of an encircling scleral buckling procedure to manage severe hypotony secondary to proliferative vitreoretinopathy (PVR)-induced retinal detachment. This retrospective study included six eyes of six patients (five women and one man) with hypotony (intraocular pressure [IOP] \u2264 6 mmHg) after multiple reattachment surgeries for PVR-induced retinal detachment. In patients with failure of hypotony resolution after conservative treatment (dexamethasone drops five times daily), 360\u00b0 scleral buckling was performed under periocular anesthesia. The light perception was evaluated immediately postoperatively. The anatomic parameters were evaluated pre- and postoperatively observed on anterior segment swept-source optical coherence tomography. Ciliary body detachment (CBD) secondary to advanced cyclitic membranes associated with PVR grades C and D was detected in all eyes with hypotony. The mean IOP increased in all eyes (4.83 mmHg preoperatively vs. 10.17 mmHg postoperatively, p = 0.006), with subsequent improvement in best-corrected visual acuity (1.91 logMAR preoperatively vs. 1.50 logMAR postoperatively, p = 0.034). However, no eye showed any significant changes in CBD postoperatively. Scleral buckling surgery might be useful to increase IOP in eyes with persistent severe hypotonia secondary to PVR-induced CBD. Further studies are needed to improve outcomes in eyes with severe PVR-induced retinal detachment.<\/jats:p>","DOI":"10.3390\/jcm11164647","type":"journal-article","created":{"date-parts":[[2022,8,10]],"date-time":"2022-08-10T02:42:53Z","timestamp":1660099373000},"page":"4647","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Encircling Scleral Buckling Surgery for Severe Hypotony with Ciliary Body Detachment on Anterior Segment Swept-Source Optical Coherence Tomography: A Case Series"],"prefix":"10.3390","volume":"11","author":[{"given":"S\u0142awomir","family":"Cisiecki","sequence":"first","affiliation":[{"name":"Centrum Medyczne \u201cJulian\u00f3w\u201d, ul. \u017beglarska 4, 91-321 Lodz, Poland"},{"name":"Miejskie Centrum Medyczne, ul. Milionowa 14, 93-113 Lodz, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9856-8790","authenticated-orcid":false,"given":"Karolina","family":"Boni\u0144ska","sequence":"additional","affiliation":[{"name":"Centrum Medyczne \u201cJulian\u00f3w\u201d, ul. \u017beglarska 4, 91-321 Lodz, Poland"},{"name":"Miejskie Centrum Medyczne, ul. Milionowa 14, 93-113 Lodz, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maciej","family":"Bednarski","sequence":"additional","affiliation":[{"name":"Centrum Medyczne \u201cJulian\u00f3w\u201d, ul. \u017beglarska 4, 91-321 Lodz, Poland"},{"name":"Miejskie Centrum Medyczne, ul. Milionowa 14, 93-113 Lodz, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,8,9]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1586\/eop.09.61","article-title":"Anterior-segment imaging for assessment of glaucoma","volume":"5","author":"Ursea","year":"2010","journal-title":"Expert Rev. Ophthalmol."},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Bille, J.F. (2019). Anterior segment OCT. High Resolution Imaging in Microscopy and Ophthalmology: New Frontiers in Biomedical Optics, Springer.","DOI":"10.1007\/978-3-030-16638-0"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1111\/j.1600-0420.1997.tb00260.x","article-title":"Cryotherapy in the treatment of cyclodialysis cleft induced hypotony","volume":"75","author":"Krohn","year":"1997","journal-title":"Acta Ophthalmol. Scand."},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Li, H., Cai, J., and 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.","DOI":"10.1186\/s12886-019-1274-z"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"544","DOI":"10.1136\/bjophthalmol-2013-303559","article-title":"The evaluation and surgical management of cyclodialysis clefts that have failed to respond to conservative management","volume":"98","author":"Ioannidis","year":"2014","journal-title":"Br. J. Ophthalmol."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"744","DOI":"10.1111\/aos.14210","article-title":"Cyclodialysis: An updated approach to surgical strategies","volume":"97","author":"Selvan","year":"2019","journal-title":"Acta Ophthalmol."},{"key":"ref_7","first-page":"165","article-title":"Comparison of encirclage and cryotherapy with argon laser in the management of traumatic cyclodialysis cleft","volume":"12","author":"Sood","year":"2019","journal-title":"Int. J. Ophthalmol."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"810","DOI":"10.1111\/j.1600-0420.2007.01130.x","article-title":"Detection of ciliary body detachment with anterior segment optical coherence tomography","volume":"86","author":"Navarro","year":"2008","journal-title":"Acta Ophthalmol."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1007\/s10792-016-0282-8","article-title":"Cyclodialysis: An update","volume":"37","year":"2017","journal-title":"Int. Ophthalmol."},{"key":"ref_10","first-page":"58","article-title":"Encircling scleral buckling for traumatic severe hypotony","volume":"51","author":"Iros","year":"2019","journal-title":"Ophthalmic Surg. Lasers Imaging Retin."},{"key":"ref_11","first-page":"187","article-title":"Cyclopexy versus vitrectomy combined with intraocular tamponade for treatment of cyclodialysis","volume":"6","author":"Xu","year":"2013","journal-title":"Int. J. Ophthalmol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"50","DOI":"10.5935\/0004-2749.20140013","article-title":"Direct cyclopexy surgery for post-traumatic cyclodialysis with persistent hypotony: Ultrasound biomicroscopic evaluation","volume":"77","author":"Murta","year":"2014","journal-title":"Arq. Bras. Oftalmol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"151","DOI":"10.3928\/1542-8877-20060301-13","article-title":"Anterior scleral buckling procedure for cyclodialysis cleft with chronic hypotony","volume":"37","author":"Mandava","year":"2006","journal-title":"Ophthalmic Surg. Lasers Imaging"},{"key":"ref_14","first-page":"30","article-title":"Surgical repair of cyclodialysis induced hypotony","volume":"5","author":"Portney","year":"1974","journal-title":"Ophthalmic Surg."},{"key":"ref_15","first-page":"337","article-title":"Three cases of hypotonic maculopathy due to blunt trauma, treated by 360-degree scleral buckling","volume":"107","author":"Inukai","year":"2003","journal-title":"Nippon Ganka Gakkai Zasshi"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"1349","DOI":"10.1016\/S0161-6420(88)33003-4","article-title":"Anterior proliferative vitreoretinopathy. Clinicopathologic, light microscopic, and ultrastructural findings","volume":"95","author":"Elner","year":"1988","journal-title":"Ophthalmology"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1347","DOI":"10.1038\/eye.2013.183","article-title":"Long-term outcomes following the surgical repair of traumatic cyclodialysis clefts","volume":"27","author":"Agrawal","year":"2013","journal-title":"Eye"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"1213","DOI":"10.1016\/j.jcrs.2008.02.038","article-title":"Diagnosis and management of traumatic cyclodialysis cleft","volume":"34","author":"Malandrini","year":"2008","journal-title":"J. Cataract Refract. Surg."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/11\/16\/4647\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T00:06:08Z","timestamp":1760141168000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/11\/16\/4647"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,8,9]]},"references-count":18,"journal-issue":{"issue":"16","published-online":{"date-parts":[[2022,8]]}},"alternative-id":["jcm11164647"],"URL":"https:\/\/doi.org\/10.3390\/jcm11164647","relation":{},"ISSN":["2077-0383"],"issn-type":[{"type":"electronic","value":"2077-0383"}],"subject":[],"published":{"date-parts":[[2022,8,9]]}}}