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Ophthalmology and Visual Sciences

Angle recession and cyclodialysis after blunt trauma

Angle recession and cyclodialysis after blunt trauma

Category(ies): Glaucoma, Iris
Contributor: Jesse Vislisel, MD

Traumatic angle recession on gonioscopic photos: This patient developed angle recession and a cyclodialysis cleft after racketball impact to the eye. Angle recession results from separation of the longitudinal and circular muscles of the ciliary body. Note the broad band of visible ciliary body face. He also had a cyclodialysis cleft, or separation of ciliary body from the scleral spur, which appears as a broad white band at the junction of the ciliary body and scleral spur.


Ultrasound biomicroscopy (UBM) of a traumatic cyclodialysis cleft

Ultrasound biomicroscopy (UBM) of a traumatic cyclodialysis cleft

Contributor: Ze Zhang, MD

Traumatic cyclodialysis cleft on high frequency ultrasound biomicroscopy: This patient presented with hypotony after blunt trauma. Please note the separation of the ciliary body from the scleral spur, leading to a direct communication between the anterior chamber and the supraciliary space. Also note the blood in the angle which extends into the supraciliary space through the cleft.