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AIM: To investigate the clinical course of acute angle-closure glaucoma after acute attack mitigation with ciliary body detachment, and to evaluate the clinical diagnostic value of ultrasound biomicroscopy (UBM). METHODS: Thirty-four patients with acute angle-closure glaucoma after acute attack mitigation with ciliary body detachment were registered in our trial, and received the treatment with corticosteroid. The kinetic changes were examined with tonometer, UBM and slitlamp before treatment and regularly time points after treatment. RESULTS: The intraocular pressure (IOP) was 6.75 (plus or minus) 3.12mmHg before medication. The scores of UBM observation were as follows: 53% of score 1,32% of score 2, and 15% of score 3. After medication, mean IOP was 12.67 (plus or minus) 5.52mmHg, which 33 patients reached the normal level. The parameters were significant change compared the those of pre-medication with UBM, including ACD, AOD, (phi)1 (P < 0.01), TCPD, ICPD (P < 0.05). The detachment was increasingly recovered with the duration. CONCLUSION: There is a optimized outcome of medication for acute angle-closure glaucoma after acute attack mitigation with ciliary body detachment. UBM is useful to diagnose the disease. LA: Chinese
X.-H. Wang. Department of Ophthalmology, Hospital of Xi'an Jiaotong University, Xi'an 710004 Shaanxi Province, China. yingguangzaoying@163.com
9.3.1 Acute primary angle closure glaucoma (pupillary block) (Part of: 9 Clinical forms of glaucomas > 9.3 Primary angle closure glaucomas)
6.12 Ultrasonography and ultrasound biomicroscopy (Part of: 6 Clinical examination methods)