International Ophthalmology

, Volume 38, Issue 6, pp 2693–2697 | Cite as

Primary acute angle-closure glaucoma complicating ciliochoroidal detachment: report of four cases and review of the literature

  • Yan Zhang
  • Chao Wang
  • Li Liu
  • Yingqing Lei
  • Yue He
  • Ling YuEmail author
Case Report



To describe the ultrasound biomicroscopy (UBM) and B-scan ultrasonography findings and therapeutic approach for ciliochoroidal detachment secondary to acute primary angle-closure glaucoma (APACG) in four patients. We also reviewed the literature.


Case report and systematic literature review.


The four patients were referred to our department for further management of APACG. The UBM and B-scan ultrasonography examinations were conducted 2 days after the beginning of medical treatment and demonstrated ciliochoroidal detachment in four eyes of the four patients. The patients all received intravenous infusion of corticosteroid therapy (10 mg dexamethasone once daily for 5–7 days). We reviewed the UBM findings, which confirmed that the ciliochoroidal detachment disappeared. The patients then underwent trabeculectomy combined with peripheral iridotomy surgery. The patients all ultimately recovered very well.


APACG with ciliochoroidal detachment is rare and has hidden clinical manifestations, and the pathophysiological mechanism is not yet fully understood. Anti-glaucoma surgery may increase the detachment. UBM and B-scan ultrasounds are useful tools for ciliochoroidal detachment diagnosis in APACG patients before operative treatment.


Acute primary angle-closure glaucoma (APACG) Ciliochoroidal detachment Ultrasound biomicroscopy (UBM) Hormone therapy Anti-glaucoma surgery 



This work was supported by the National Natural Science Foundation of China (No. 81570841).

Compliance with ethical standards

Conflict of interest

The authors have no financial interests in the subject matter presented.


  1. 1.
    Yuki T, Kimura Y, Nanbu S et al (1997) Ciliary body and choroidal detachment after laser photocoagulation for diabetic retinopathy: a high-frequency ultrasound study. Ophthalmology 104(8):1259–1264CrossRefGoogle Scholar
  2. 2.
    Kawahara S, Nagai Y, Kawakami E et al (2000) Ciliochoroidal detachment following scleral buckling surgery for rhegmatogenous retinal detachment. Jpn J Ophthalmol 44(6):692–693CrossRefGoogle Scholar
  3. 3.
    Thinda S, Melson MR, Kuchtey RW (2012) Worsening angle closure glaucoma and choroidal detachments subsequent to closure of a carotid cavernous fistula. BMC Ophthalmol 28(12):1471–2415Google Scholar
  4. 4.
    Fourman S (1989) Angle-closure glaucoma complicating ciliochoroidal detachment. Ophthalmology 96(5):646–653CrossRefGoogle Scholar
  5. 5.
    Sugimoto K, Ito K, Esaki K et al (2002) Supraciliochoroidal fluid at an early stage after trabeculectomy. Jpn J Ophthalmol 46(5):548–552CrossRefGoogle Scholar
  6. 6.
    Potash SD, Ritch R, Liebmann J (1993) Ocular hypotony and choroidal effusion following bleb needling. Ophthalmic Surg 24:279–280PubMedGoogle Scholar
  7. 7.
    Ursin KV (1965) On “spontaneous” choroidal detachment after glaucoma in the light of an exceptional case. Acta Ophthalmol (Copenh) 43:751–760CrossRefGoogle Scholar
  8. 8.
    Asai M, Tsujiguchi R, Taniguchi Y (1988) Choroidal detachment developed in a case of acute closed angle glaucoma. Jpn J Clin Ophthalmol 42:1383–1386 (in Japanese) Google Scholar
  9. 9.
    Gazzard G, Friedman DS, Devereux J et al (2001) Primary acute angle closure glaucoma associated with suprachoroidal fluid in three Chinese patients. Eye (Lond) 15(3):358–360CrossRefGoogle Scholar
  10. 10.
    Sakai H, Morine-Shinjyo S, Shinzato M (2005) Uveal effusion in primary angle-closure glaucoma. Ophthalmology 112(3):413–419CrossRefGoogle Scholar
  11. 11.
    Kumar R, Quek D, Lee K (2008) Confirmation of the presence of uveal effusion in Asian eyes with primary angle closure glaucoma. Arch Ophthalmol 126(12):1647–1651CrossRefGoogle Scholar
  12. 12.
    Goldberg S, Gallily R, Bishara S et al (2004) Dorzolamide-induced choroidal detachment in a surgically untreated eye. Am J Ophthalmol 138(2):285–286CrossRefGoogle Scholar
  13. 13.
    Fujitani A, Hayasaka S (1995) Concurrent acute angle-closure glaucoma, choroidal detachment and exudative retinal detachment in a patient with spontaneous carotid cavernous fistula. Ophthalmologica 209:220–222CrossRefGoogle Scholar
  14. 14.
    Pesin SR, Katz LJ, Augsburger JJ et al (1990) Acute angle-closure glaucoma from spontaneous massive hemorrhagic retinal or choroidal detachment. An updated diagnostic and therapeutic approach. Ophthalmology 97(1):76–84CrossRefGoogle Scholar
  15. 15.
    Fan Ning, Huang Lina, Cheng Hobo et al (2007) Clinical study of choroidal detachment after reduction of intraocular pressure in primary acute angle-closure glaucoma. Chin J Pract Ophthalmol 25(1):79–81Google Scholar
  16. 16.
    Chialant D, Damli KF (2000) Ultrasound biomicroscopy in diagnosis of a cyclodialysis cleft in a patient with corneal edema and hypotony after an air bag injury. Can J ophthalmolog 35(3):148–150CrossRefGoogle Scholar
  17. 17.
    Liu Shaozhang (2004) Related factors of choroidal detachment after glaucoma filtering surgery and the preventive measures. Acta Academiae Medicinae Militaris Tertiae 28(6):733–735Google Scholar
  18. 18.
    Forrester JV, Lee WR, Kerr PR et al (1990) The uveal effusion syndrome and trans-scleral flow. Eye (Lond) 4(2):354–365CrossRefGoogle Scholar
  19. 19.
    Mancino R, Varesi C, Cerulli A et al (2011) Acute bilateral angle-closure glaucoma and choroidal effusion associated with acetazolamide administration after cataract surgery. J Cataract Refract Surg 37(2):415–417CrossRefGoogle Scholar
  20. 20.
    Hanna R, Tiosano B, Dbayat N et al (2014) Unilateral angle-closure glaucoma with ciliochoroidal effusion after the consumption of cannabis: a case report. Case Rep Ophthalmol 5(3):439–443CrossRefGoogle Scholar

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© Springer Science+Business Media B.V., part of Springer Nature 2017

Authors and Affiliations

  1. 1.Department of OphthalmologyThe Affiliated Hospital of Southwest Medical UniversityLuzhouChina

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