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OBJECTIVE: To identify the quantitative and qualitative changes in anterior segment paraments after scleral buckling procedures. METHODS: Ultrasound biomicroscope was used to examine 25 patients with retinal detachment within one week before and after surgery, and to find if there was any ciliary detachment. Quantitative measurements were performed. The results of preoperation and postoperation for each eye were compared. RESULTS: Ciliary detachment was present in nine eyes (36%) before operation, most of which were slit-like. Twenty-one eyes (84%) had ciliary detachment postoperatively, most of which was wedge-shaped. The differences in angle opening distance, trabecular/iris angle, ciliary body thickness and supraciliary fluid level were statistically significant (p < 0.01). The change in anterior chamber depth was not statistical. There were close correlation between supraciliary fluid level and ciliary body thickness (r = 0.713, p < 0.05). CONCLUSIONS: Ciliary detachment, ciliary body thickening, anterior angle narrowing are common after scleral buckling surgery. The narrowing of anterior angle is a potential risk to secondary glaucoma. LA: Chinese
Dr F. Ying, Department of Ophthalmology, Shanghai First People's Hospital, Shanghai 200080, China
6.12 Ultrasonography and ultrasound biomicroscopy (Part of: 6 Clinical examination methods)