Liebmann J M, Weinreb R N, Ritch R
Department of Ophthalmology, The New York Eye and Ear Infirmary, New York City, NY 10003, USA.
Arch Ophthalmol. 1998 Jun;116(6):731-5. doi: 10.1001/archopht.116.6.731.
To evaluate the role of annular ciliary body detachment in the development of postoperative angle-closure glaucoma.
Case series.
Tertiary care glaucoma referral center.
High-resolution, anterior segment ultrasound biomicroscopy, ophthalmoscopy, and B-scan ultrasonography were performed on 6 eyes of 6 patients with a clinical diagnosis of postoperative malignant glaucoma.
Each eye had an elevated intraocular pressure, a shallow anterior chamber, 1 or more patent iridectomies, and no ophthalmoscopic or B-scan ultrasound evidence of serous or hemorrhagic ciliochoroidal detachment. Ultrasound biomicroscopy revealed annular ciliary body detachment in each eye. In 4 eyes, observation with topical medical treatment was associated with deepening of the anterior chamber, reduced intraocular pressure, and resolution of the detachment. Drainage of the supraciliary fluid was performed in 2 eyes.
Occult, annular, serous detachment of the ciliary body may cause postoperative angle-closure glaucoma. This entity is clinically indistinguishable from malignant glaucoma. Ultrasound biomicroscopy facilitates the diagnosis.
评估环形睫状体脱离在术后闭角型青光眼发生发展中的作用。
病例系列研究。
三级医疗青光眼转诊中心。
对6例临床诊断为术后恶性青光眼患者的6只眼进行高分辨率眼前节超声生物显微镜检查、检眼镜检查和B超检查。
每只眼眼压升高、前房浅、有1个或多个虹膜切除术切口通畅，检眼镜或B超检查未发现浆液性或出血性睫状体脉络膜脱离证据。超声生物显微镜检查发现每只眼均有环形睫状体脱离。4只眼经局部药物治疗观察，前房加深、眼压降低、脱离消退。2只眼进行了睫状体上腔液体引流。
隐匿性、环形、浆液性睫状体脱离可能导致术后闭角型青光眼。该疾病在临床上与恶性青光眼难以区分。超声生物显微镜检查有助于诊断。
