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Refixation of the ciliary body after traumatic cyclodialysis.

In 10 eyes a direct refixation of the ciliary muscle to the scleral sporn with many 10 X 0 nylon sutures very close to each other has been performed after a traumatic cyclodialysis. In all 10 eyes the intraocular pressure could be normalized between 12 and 18 mm Hg, the visual acuity recovered in all cases and the signs of ocular hypotony disappeared at the anterior and posterior segment. The follow-up ranged from 6 months to 4 1/2 years. The extent of cyclodialysis ranged from 30 to 120 degrees. In 5 eyes the direct cyclopexy was performed within 10 days after the traumatic cyclodialysis and in 5 eyes after 2-3 months, which was not important for the visual recovery. Intraoperatively no complications were seen and postoperatively in only 4 eyes a temporary increase of intraocular pressure was noted.