[Direct cyclopexy in the treatment of the persistent hypotony syndrome due to traumatic cyclodialysis (author's transl)].

Persisting hypotony in 8 eyes due to traumatic cyclodialysis extending from 75 degree - 240 degree was cured by a modified technique of "direct cyclopexy". Our approach consists of the following elements: 1.4 mm lamella limbal based scleral window in the area of the cyclodialysis. 2. Incision of the basal scleral lamella directly behind and parallel to the scleral spur. 3. Bipolar cautery of the ciliary muscle. 4. Under direct visual control, suture of the insertion of the ciliary muscle to the scleral spur with 10/0 nylon. In all cases intraocular pressure was normalized, no anterior synechiae and no secondary glaucoma ensued. Postoperative tonographic C-values were below the upper normal limit. The degree of functional improvement depends on the duration of hypotony and other contusional changes. Early "direct cyclopexy" is recommended.