Concurrent ciliary body detachment in patients presenting with serous choroidal detachment following glaucoma surgery.

Autor: Barayev E; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.; Department of Ophthalmology, Rabin Medical Center - Beilinson Hospital, 39 Jabotinsky St., 4941492, Petach Tikva, Israel., Gal-Or O; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.; Department of Ophthalmology, Rabin Medical Center - Beilinson Hospital, 39 Jabotinsky St., 4941492, Petach Tikva, Israel., Gershoni A; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.; Department of Ophthalmology, Rabin Medical Center - Beilinson Hospital, 39 Jabotinsky St., 4941492, Petach Tikva, Israel., Hadayer A; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.; Department of Ophthalmology, Rabin Medical Center - Beilinson Hospital, 39 Jabotinsky St., 4941492, Petach Tikva, Israel., Barash D; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.; Department of Ophthalmology, Rabin Medical Center - Beilinson Hospital, 39 Jabotinsky St., 4941492, Petach Tikva, Israel., Bahar I; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.; Department of Ophthalmology, Rabin Medical Center - Beilinson Hospital, 39 Jabotinsky St., 4941492, Petach Tikva, Israel., Geffen N; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.; Department of Ophthalmology, Rabin Medical Center - Beilinson Hospital, 39 Jabotinsky St., 4941492, Petach Tikva, Israel., Zahavi A; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. alonzahavi@gmail.com.; Department of Ophthalmology, Rabin Medical Center - Beilinson Hospital, 39 Jabotinsky St., 4941492, Petach Tikva, Israel. alonzahavi@gmail.com.; Laboratory of Eye Research, Felsenstein Medical Research Center, Petach Tikva, Israel. alonzahavi@gmail.com.
Jazyk: angličtina
Zdroj: International ophthalmology [Int Ophthalmol] 2024 Jun 26; Vol. 44 (1), pp. 283. Date of Electronic Publication: 2024 Jun 26.
DOI: 10.1007/s10792-024-03219-1
Abstrakt: Purpose: 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.
Methods: 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.
Results: 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.
Conclusions: 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.
(© 2024. The Author(s).)
Databáze: MEDLINE
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