Options for repair of large cyclodialysis Cleft

Thread view:

Enable EMail Alerts

Start New Thread

Thread rating:

Dave Bell - 15 Mar 2007 21:10 GMT

Afte rnumerous surgeries for repair of a detached retine (long history
uopn request!), I have been fighting hypotony. Finally diagnosed as a
large ("3 to 4 clock-hours") cleft. Ophthalmalogist feels laser treatment
will not succeed, due to profound hypotony and inability to get a clear
view, so she recommends surgery.

The surgery itself doesn't concern me too much (after 5, who cares?), but
I am looking for opinions on options, prognosis, etc.

If the surgery doesn't bring IOP back to normal range, she is considering
referral out of the HMO, to a university or other center. Who/where comes
to mind?

Thank you,

Dave

Reply to this Message

Scott Seidman - 15 Mar 2007 21:54 GMT

> If the surgery doesn't bring IOP back to normal range, she is considering
> referral out of the HMO, to a university or other center. Who/where comes
> to mind?

After "numerous surgeries", I'd think the HMO has already had their crack
at your condition, and you should seek a second opinion outside the HMO
prior to any further surgery.

Signature

Scott
Reverse name to reply

Reply to this Message

Anon E. Muss - 16 Mar 2007 05:47 GMT

>Afte rnumerous surgeries for repair of a detached retine (long history
>uopn request!), I have been fighting hypotony. Finally diagnosed as a
[quoted text clipped - 4 lines]
>The surgery itself doesn't concern me too much (after 5, who cares?), but
>I am looking for opinions on options, prognosis, etc.

If the view isn't clear, the usual options are diathermy, cryopexy or
suturing of the ciliary body.

>If the surgery doesn't bring IOP back to normal range, she is considering
>referral out of the HMO, to a university or other center. Who/where comes
>to mind?

Depends where you are close to.

Robert Ritch is a top glaucoma surgeon in New York. Robert Weinreb is
in San Diego.

You could also go to any of the big Universities with great
ophthalmology departments: Shelly Eye (UCSD), Wilmer Eye (Johns
Hopkins), Bascom Palmer (University of Miami), UCSF, Wills Eye
Hospital, University of Iowa are ones that come to mind off of the top
of my head.

Reply to this Message

Dave Bell - 18 Mar 2007 06:54 GMT

>> Afte rnumerous surgeries for repair of a detached retine (long history
>> uopn request!), I have been fighting hypotony. Finally diagnosed as a
[quoted text clipped - 22 lines]
> Hospital, University of Iowa are ones that come to mind off of the top
> of my head.

Thanks for the suggestions! I should have mentioned location, I
suppose; I'm in California, south of San Francisco. UCSF would be ideal,
and I actually have some experience there. San Diego is also a good option.

Dave

Reply to this Message