{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T17:26:47Z","timestamp":1785864407447,"version":"3.56.0"},"reference-count":20,"publisher":"MDPI AG","issue":"13","license":[{"start":{"date-parts":[[2023,6,25]],"date-time":"2023-06-25T00:00:00Z","timestamp":1687651200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"The National Natural Science Foundation of China","award":["81974137"],"award-info":[{"award-number":["81974137"]}]},{"name":"The National Natural Science Foundation of China","award":["2019JJ40507"],"award-info":[{"award-number":["2019JJ40507"]}]},{"name":"The Natural Science Foundation of Hunan Province","award":["81974137"],"award-info":[{"award-number":["81974137"]}]},{"name":"The Natural Science Foundation of Hunan Province","award":["2019JJ40507"],"award-info":[{"award-number":["2019JJ40507"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Our aim was to assess the therapeutic efficacy of a modified single-arm suture technique on traumatic cyclodialysis cleft with vitreoretinal injury. The procedure involved fixing a detached ciliary body using a single-armed 10-0 polypropylene suture under the assistance of a 29-gauge needle. Patients with a traumatic cyclodialysis cleft combined with an anterior and posterior segment injury who underwent modified internal cyclopexy together with vitreoretinal surgery were enrolled in this study. Ultrasound biomicroscopy (UBM) was used to diagnose and evaluate the cyclodialysis and anterior segment injury. B-scan ultrasonography was performed to assess the condition of the vitreous, retina and choroid. The surgical time and successful rate for repairing the cyclodialysis cleft were recorded. Preoperative and postoperative best-corrected visual acuity (BCVA), and intraocular pressure (IOP) were documented for assessment. The study included 20 eyes. The extent of the cyclodialysis cleft was from 30\u00b0 to 360\u00b0. Besides a traumatic cyclodialysis cleft, the included cases also combined this with vitreous hemorrhages, retinal detachment, macular holes, choroid avulsion, and suprachoroidal hemorrhage. All the clefts were anatomically closed in one surgery. The average surgical time for fixing the cyclodialysis cleft was 2.68 \u00b1 0.54 min\/30\u00b0 cleft. A significant improvement in LogMAR BCVA was observed from 2.94 \u00b1 0.93 preoperatively to 1.81 \u00b1 1.11 at the 6-month follow-up. IOP was elevated from 10.90 \u00b1 6.18 mmHg preoperatively to 14.45 \u00b1 2.35 mmHg at the 6-month follow-up. The modified single-armed suture technique was proved to be an effective method to fix the traumatic cyclodialysis cleft, which could facilitate the use of the procedure to repair chorioretinal disorders. It improved the BCVA and maintained the IOP with less postoperative complications.<\/jats:p>","DOI":"10.3390\/jcm12134252","type":"journal-article","created":{"date-parts":[[2023,6,26]],"date-time":"2023-06-26T05:11:54Z","timestamp":1687756314000},"page":"4252","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["A Modified Single-Armed Suture Technique for Traumatic Cyclodialysis Cleft with Vitreoretinal Injury"],"prefix":"10.3390","volume":"12","author":[{"given":"Xueyong","family":"Zhang","sequence":"first","affiliation":[{"name":"Eye Center of Xiangya Hospital, Central South University, Changsha 410008, China"},{"name":"Hunan Key Laboratory of Ophthalmology, Central South University, Changsha 410008, China"},{"name":"National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha 410008, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nan","family":"Wang","sequence":"additional","affiliation":[{"name":"Eye Center of Xiangya Hospital, Central South University, Changsha 410008, China"},{"name":"Hunan Key Laboratory of Ophthalmology, Central South University, Changsha 410008, China"},{"name":"National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha 410008, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guoli","family":"Zheng","sequence":"additional","affiliation":[{"name":"Eye Center of Xiangya Hospital, Central South University, Changsha 410008, China"},{"name":"Hunan Key Laboratory of Ophthalmology, Central South University, Changsha 410008, China"},{"name":"National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha 410008, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Die","family":"Liu","sequence":"additional","affiliation":[{"name":"Eye Center of Xiangya Hospital, Central South University, Changsha 410008, China"},{"name":"Hunan Key Laboratory of Ophthalmology, Central South University, Changsha 410008, China"},{"name":"National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha 410008, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Quyan","family":"Zhang","sequence":"additional","affiliation":[{"name":"Eye Center of Xiangya Hospital, Central South University, Changsha 410008, China"},{"name":"Hunan Key Laboratory of Ophthalmology, Central South University, Changsha 410008, China"},{"name":"National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha 410008, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenbo","family":"Lei","sequence":"additional","affiliation":[{"name":"Eye Center of Xiangya Hospital, Central South University, Changsha 410008, China"},{"name":"Hunan Key Laboratory of Ophthalmology, Central South University, Changsha 410008, China"},{"name":"National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha 410008, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaobo","family":"Xia","sequence":"additional","affiliation":[{"name":"Eye Center of Xiangya Hospital, Central South University, Changsha 410008, China"},{"name":"Hunan Key Laboratory of Ophthalmology, Central South University, Changsha 410008, China"},{"name":"National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha 410008, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1281-8198","authenticated-orcid":false,"given":"Siqi","family":"Xiong","sequence":"additional","affiliation":[{"name":"Eye Center of Xiangya Hospital, Central South University, Changsha 410008, China"},{"name":"Hunan Key Laboratory of Ophthalmology, Central South University, Changsha 410008, China"},{"name":"National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha 410008, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,6,25]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"320","DOI":"10.1016\/0002-9394(71)90405-3","article-title":"Management of Persistent Hypotony after Planned or Inadvertent Cyclodialysis","volume":"71","author":"Maumenee","year":"1971","journal-title":"Am. J. Ophthalmol."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1097\/ICU.0b013e3283366a4d","article-title":"Cyclodialysis cleft: Causes and repair","volume":"21","author":"Ioannidis","year":"2010","journal-title":"Curr. Opin. Ophthalmol."},{"key":"ref_3","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_4","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_5","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1001\/archopht.122.3.399","article-title":"Medical, laser, and surgical management of inadvertent cyclodialysis cleft with hypotony","volume":"122","author":"Aminlari","year":"2004","journal-title":"Arch. Ophthalmol."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"272","DOI":"10.4103\/0301-4738.156936","article-title":"Ciliochoroidal effusion with persistent hypotony after trabectome surgery","volume":"63","author":"Osman","year":"2015","journal-title":"Indian J. Ophthalmol."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1107","DOI":"10.1016\/j.jcrs.2015.04.002","article-title":"Cyclodialysis cleft with late hypotony maculopathy after inadvertent cannula detachment during cataract surgery","volume":"41","author":"Kahawita","year":"2015","journal-title":"J. Cataract Refract. Surg."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"542","DOI":"10.1016\/j.jcrs.2006.09.044","article-title":"Cyclodialysis cleft secondary to removal of an anterior chamber phakic intraocular lens","volume":"33","author":"Espana","year":"2007","journal-title":"J. Cataract Refract. Surg."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1384","DOI":"10.1016\/S0161-6420(91)32121-3","article-title":"Management of the hypotonous cyclodialysiscleft","volume":"98","author":"Ormerod","year":"1991","journal-title":"Ophthalmology"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1111\/ceo.13378","article-title":"Cyclodialysis cleft repair: A multi-centred, retrospective case series","volume":"47","author":"Popovic","year":"2019","journal-title":"Clin. Exp. Ophthalmol."},{"key":"ref_11","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."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"e284","DOI":"10.1097\/IJG.0000000000000334","article-title":"Dual Endotemponade for Extensive Long-standing Cyclodialysis Using Sulcus-fifixated Cionni Ring and PCIOL","volume":"25","author":"Gupta","year":"2016","journal-title":"J. Glaucoma."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"639","DOI":"10.1111\/aos.13463","article-title":"Internal cyclopexy for complicated traumatic cyclodialysis cleft","volume":"95","author":"Wang","year":"2017","journal-title":"Acta Ophthalmol."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"e387","DOI":"10.1111\/aos.14578","article-title":"Traumatic choroidal injuries\u2014Classification, incidence, diagnosis and prognosis twenty-year results of Eye Injury Vitrectomy Study","volume":"99","author":"Chen","year":"2021","journal-title":"Acta Ophthalmol."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"2964","DOI":"10.3389\/fmed.2021.801068","article-title":"Novel Suturing Methods for the Management of Traumatic Choroidal Avulsion in Globe Injuries","volume":"8","author":"Chen","year":"2022","journal-title":"Front. Med."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"e129","DOI":"10.1111\/j.1755-3768.2009.01542.x","article-title":"Traumatic choriodialysis treated by intraocular fibrin glue","volume":"88","author":"Jiang","year":"2010","journal-title":"Acta Ophthalmol."},{"key":"ref_17","first-page":"143","article-title":"Efficacy of combined vitreous surgery and choroidal suture fixation on choroidal avulsion","volume":"26","author":"Ma","year":"2011","journal-title":"Eye Sci."},{"key":"ref_18","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_19","doi-asserted-by":"crossref","first-page":"322","DOI":"10.1016\/S0161-6420(95)31021-4","article-title":"Direct cycloplexy for traumatic cyclodialysis with persisting hypotony; report in 29 consecutive patients","volume":"102","author":"Kuchle","year":"1995","journal-title":"Ophthalmology"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"761","DOI":"10.1016\/j.survophthal.2021.01.014","article-title":"The choroidal rupture: Current concepts and insights","volume":"66","author":"Lupidi","year":"2021","journal-title":"Surv. 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