CHOROIDAL DETACHMENT. ETIOLOGY, PATHOGENESIS, CLINICAL PICTURE AND TREATMENT

Abstract

Detachment of the choroid during glaucoma surgery is the most common complication associated with depressurization or decompression of the eyeball. The emergence of this process is due to the peculiarities of the structure and relationships of the vascular and scleral membranes of the eye. The relevance of the study of this pathological condition is due to the fact that the late detection and treatment of ciliochoroidal detachment leads to serious changes in the organ of vision. This complication can complicate the postoperative period, change the results of the operation and increase the duration of rehabilitation, with different stages of glaucoma, and especially in the advanced stage. Therefore, knowledge of the etiology, pathogenesis, clinical picture of this process helps in finding a safe, timely and effective method of treatment and prevention of this complication. At present, the main signs of ciliochoroidal detachment, characteristic of this condition and features of the differential diagnosis of vascular detachment with choroidal tumors, hemorrhages and retinal detachment, are quite clearly known. The frequency of development of ciliochoroidal detachment directly depends on the level of the intraocular pressure gradient during the operation, and in the early postoperative period. The methods of reducing the risk and the tactics of treatment of the resulting complications are known. Nevertheless, many unresolved questions concerning the causes of ciliohoroidal detachment remain; there are different approaches to the tactics of treatment of these patients.