Fig. 1

Surgical procedure for continuous ab interno repairing of cyclodialysis cleft using a 30G needle. a: The bulbar conjunctiva corresponding to the ciliary body with clefts was incised along the corneal limbus. An incision was made along the corneal limbus on the opposite side, and viscoelastic agent was injected into the anterior chamber through the corneal limbal incision. A 30G needle with a 10–0 suture entered the anterior chamber via the corneal incision opposite to the site of the cyclodialysis cleft, passed through the ciliary body, and exited from the site on the scleral surface 2 mm posterior to the corneal limbus. The tip of the 10–0 suture was pulled and held. b: The needle tip was inserted back into the vitreous cavity, passed through the ciliary body, and then exited the sclera again with half o’clock interval. Now, the 10–0 suture formed a loop that was pulled out and locked with the 10–0 suture of the first stich. The needle tip was inserted back into the vitreous cavity. c: At completion of suture of all cleft sites, the needle was removed, and the locking-suture loop was adjusted and tied to make the ciliary body attach to the scleral wall