Concurrent ciliary body detachment in patients presenting with serous choroidal detachment following glaucoma surgery.
Humans
Male
Female
Ciliary Body
Aged
Prospective Studies
Middle Aged
Aged, 80 and over
Intraocular Pressure
/ physiology
Choroidal Effusions
/ diagnosis
Glaucoma
/ surgery
Postoperative Complications
/ diagnosis
Microscopy, Acoustic
Follow-Up Studies
Trabeculectomy
/ adverse effects
Glaucoma Drainage Implants
/ adverse effects
Visual Acuity
Uveal Diseases
/ diagnosis
Tomography, Optical Coherence
/ methods
Choroidal detachment
Ciliary body detachment
Glaucoma surgery
Hypotony
Ultrasound biomicroscopy
Journal
International ophthalmology
ISSN: 1573-2630
Titre abrégé: Int Ophthalmol
Pays: Netherlands
ID NLM: 7904294
Informations de publication
Date de publication:
26 Jun 2024
26 Jun 2024
Historique:
received:
24
12
2023
accepted:
16
06
2024
medline:
26
6
2024
pubmed:
26
6
2024
entrez:
26
6
2024
Statut:
epublish
Résumé
To examine the rate of ciliary body detachment in patients with choroidal detachment following glaucoma surgery and its effect on the clinical course, management, and prognosis. A prospective observational case-series study. Patients with choroidal detachment following glaucoma surgery in 2018-2019 were included. All underwent complete ophthalmological examination and ultrasound biomicroscopy for evaluation of the presence and extent of ciliary body detachment. Follow-up examinations including ultrasound biomicroscopy scans were performed at 1 week, 1 month, 3 months, and 6 months. Eight patients (8 eyes) were enrolled, 4 male and 4 female, of mean age 72 years (range 60-83). Five patients underwent trabeculectomy with mitomycin C (0.02%), which was combined with phacoemulsification cataract extraction in one; two underwent Ahmed glaucoma valve implantations, and one underwent ab-interno Xen45 gel stent implantation with mitomycin C (0.02%). The mean intraocular pressure was 26.0 ± 7.65 mmHg preoperatively, dropping to 6.9 ± 2.64 mmHg on first postoperative day one. Mean time from surgery to diagnosis of choroidal detachment was 11.6 ± 5.73 days. Ciliary body detachment was identified by ultrasound biomicroscopy in all patients, ranging between one and four quadrants. All patients were treated with topical steroids and cycloplegics; three (37.5%) received oral steroids. No surgical intervention for the choroidal or ciliary body detachments was indicated. In this real-world prospective study, concurrent ciliary body detachment was identified in all patients who presented with choroidal detachment following glaucoma surgery. This observation may deepen our understanding of the mechanism underlying the hypotony that is often seen after glaucoma surgery.
Identifiants
pubmed: 38922523
doi: 10.1007/s10792-024-03219-1
pii: 10.1007/s10792-024-03219-1
doi:
Types de publication
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
283Informations de copyright
© 2024. The Author(s).
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