Abstract
Purpose
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.
Methods
Case report and systematic literature review.
Results
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.
Conclusion
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.
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References
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):1259–1264
Kawahara S, Nagai Y, Kawakami E et al (2000) Ciliochoroidal detachment following scleral buckling surgery for rhegmatogenous retinal detachment. Jpn J Ophthalmol 44(6):692–693
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):1471–2415
Fourman S (1989) Angle-closure glaucoma complicating ciliochoroidal detachment. Ophthalmology 96(5):646–653
Sugimoto K, Ito K, Esaki K et al (2002) Supraciliochoroidal fluid at an early stage after trabeculectomy. Jpn J Ophthalmol 46(5):548–552
Potash SD, Ritch R, Liebmann J (1993) Ocular hypotony and choroidal effusion following bleb needling. Ophthalmic Surg 24:279–280
Ursin KV (1965) On “spontaneous” choroidal detachment after glaucoma in the light of an exceptional case. Acta Ophthalmol (Copenh) 43:751–760
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)
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):358–360
Sakai H, Morine-Shinjyo S, Shinzato M (2005) Uveal effusion in primary angle-closure glaucoma. Ophthalmology 112(3):413–419
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):1647–1651
Goldberg S, Gallily R, Bishara S et al (2004) Dorzolamide-induced choroidal detachment in a surgically untreated eye. Am J Ophthalmol 138(2):285–286
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 209:220–222
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):76–84
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):79–81
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):148–150
Liu Shaozhang (2004) Related factors of choroidal detachment after glaucoma filtering surgery and the preventive measures. Acta Academiae Medicinae Militaris Tertiae 28(6):733–735
Forrester JV, Lee WR, Kerr PR et al (1990) The uveal effusion syndrome and trans-scleral flow. Eye (Lond) 4(2):354–365
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):415–417
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):439–443
Acknowledgements
This work was supported by the National Natural Science Foundation of China (No. 81570841).
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Zhang, Y., Wang, C., Liu, L. et al. Primary acute angle-closure glaucoma complicating ciliochoroidal detachment: report of four cases and review of the literature. Int Ophthalmol 38, 2693–2697 (2018). https://doi.org/10.1007/s10792-017-0769-y
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DOI: https://doi.org/10.1007/s10792-017-0769-y