AIM:To explore the operation methods and effects for wide range cyclodialysis(≥180°)sutured under the interrupted scleral flaps.

METHODS:Thirteen patients(13 eyes)with wide range traumatic cyclodialysis received surgeries. Intermittent lamellar scleral flaps were made in the region of cyclodialysis. Each flap was 5mm wide, and the distance between two flaps was 2mm. Then the deep lamellar was cut 1.5mm behind the limbus and the cyclodialysis was sutured. Intraocular pressure, visual acuity, anterior chamber depth and complications after the surgery were observed. The follow-up time was 3～6mo.

RESULTS:The visual acuity of all patients improved to varying degrees, the anterior chamber depth returned to normal, and no obvious complications such as severe corneal astigmatism, anterior segment ischemia or others occurred in all patients after the surgery. The cyclodialysis was completely fixed in 11 eyes(85%, 13 eyes in total)after the first operation. And the cyclodialysis was completely fixed in other 2 eyes(15%)after the second operation on 30d and 35d respectively. Postoperative ocular hypertension occurred in 8 eyes. Seven eyes recovered after giving medication and one eye received sustained intraocular pressure lowering drugs.

CONCLUSION:The operation of wide range cyclodialysis sutured under the interrupted scleral flaps is simple, effective and reliable, and can reduce the occurrence of complications. It is an ideal operation method.