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Abstract #5755 Published in IGR 2-1
Ciliochoroidal detachment and malignant glaucoma
Lu Y; Dai W; Guo LChinese Ophthalmic Research 2000; 18:81-82
OBJECTIVE: To discuss the relationship between ciliochoroidal detachment and malignant glaucoma with normal or higher intraocular pressure (IOP) after glaucoma surgery. METHODS: Eight eyes (eight cases) with ciliochoroidal detachment and malignant glaucoma after glaucoma surgery were reviewed retrospectively. All eight eyes were angle-closure glaucoma. After IOP had been controlled to normal with topical pilicarpin, timolol and oral acetazolamide, eight eyes received trabeculectomy under topical anesthemia, and were treated with antibiotics, corticosteriods and eycloplegics. RESULTS: Eight eyes showed flat anterior chambers, high IOP (mean 29.5 mmHg, range 24 (similar) 50 mmHg), and iridocorneal apposition at one month after trabeculectomy. Of the eight eyes, seven were treated with drainage of surachoroidal fluid and gas injection into anterior chamber, and one was treated with extracapsular cataract extraction, intraocular lens implantation, drainage of surachoroidal fluid and gas injection into anterior chamber. Surachoroidal fluid was seen during sleostomy in the eight eyes. After the second surgery, the eight eyes were treated with topical antibiotics corticosteriods, eyoloplegics, anterior chamber was deeper, and IOP became normal again. CONCLUSIONS: Ciliochoroidal detachment may be a step in the development of malignant glaucoma, or they both may be the same disease with variations in clinical appearance. Malignant glaucoma should be considered in different diagnoses of a flat or shallow anterior chamber with normal or higher IOP after glaucoma surgery. Drainage of surachoroidal fluid is effective. LA: <#>
Dr. Y. Lu, Department of Ophthalmology, Xuan Wu Hospital, Capital University of Medical Sciences, Beijing 100053, China
Classification:
9.4.11.1 Ciliary block (malignant) glaucoma (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.11 Glaucomas following intraocular surgery)
