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April 1958

Cyclodialysis with Air Injection: Technique and Results in Ninety-Four Consecutive Operations

Author Affiliations

From the Department of Ophthalmology, Henry Ford Hospital.

AMA Arch Ophthalmol. 1958;59(4):507-514. doi:10.1001/archopht.1958.00940050063006

Division of the ciliary body from its insertion to the scleral spur as a surgical procedure in the control of glaucoma was employed sporadically prior to 1900. Following the original description of cyclodialysis by Heine,1 in 1905, numerous variations in technique have been introduced. These variations include cyclodialysis with iridectomy, sclerectomy, or iridencleisis and the introduction of foreign material in the dialysis in an effort to maintain an open cleft. An excellent review of the literature regarding these and other variations of technique has been made by Sugar.2

The technique of cyclodialysis described by Heine includes preparation of a small conjunctival flap 8 to 10 mm. from the limbus in one of the outer quadrants and a scleral incision, 3 mm. long, parallel to and 6 mm. posterior to the limbus. The spatula is introduced between the choroid and sclera and passed forward to enter the anterior chamber;

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