Cyclodialysis is a rare disorder that results from disinsertion of the longitudinal ciliary muscle fibers from the scleral spur, creating an alternative route for aqueous humor outflow, which may lead to severe hypotony.

Blunt ocular trauma is the most frequent cause of cyclodialysis cleft formation.

Closing a cyclodialysis cleft is a true therapeutic challenge. There are many treatment modalities (ranging from laser therapy to surgical interventions), but there is no obvious gold-standard technique.

We report a case of traumatic cyclodialysis cleft and cataract, successfully treated with gas endotamponade and cyclocryotherapy combined with phacoemulsification and intraocular lens (IOL) implantation.

To the best of our knowledge, this “triple” procedure is the first of its kind reported in the literature, with promising outcomes.