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January 1973

Silicone Elastomer Implantation Cyclodialysis: A Negative Report

Author Affiliations

Davis, Calif
From the Department of Ophthalmology, University of California at Davis, and the Division of Ophthalmology, Stanford University Medical Center, Stanford, Calif.

Arch Ophthalmol. 1973;89(1):10-12. doi:10.1001/archopht.1973.01000040012003

Five eyes with severe secondary angleclosure glaucoma were operated upon using the silicone elastomer (Silastic) implantation cyclodialysis procedure. It was not possible to thereby significantly reduce the intraocular pressure except for one eye, which also underwent a cyclodiathermy. Microscopic examination of this eye and two other eyes revealed an inflammatory reaction surrounding the silicone elastomer that obliterated the connection between the anterior chamber and suprachoroidal space. The silicone elastomer implant cyclodialysis is not recommended for severe secondary angle-closure glaucoma.