Observation on the ciliary body detachment after remission of the acute attack of glaucoma

Abstract

Objective To observe relevant factors and therapic efficacy of the secondary ciliary body detachment after remission of the acute attack of primary acute angle-closure glaucoma(PACG). Methods Clinical data of 82 eyes of 82 patients with PACG were collected.Seven eyes of 7 patients were determined with ciliary detachment by ultrasound biomicroscope (UBM) after remission of the acute attack. The IOP and anterior chamber depth measured with noncontact tromometer and UBM were retrospectively analyzed. Results The IOP was (62.71±8.34) mmHg (1 mmHg=0.133 kPa) and the central anterior chamber depth was (1.60±0.21) mm in eyes without ciliary body detachment at the acute attack of PACG.After remission of the acute attack the IOP was (9.71±5.06) mmHg and the central anterior chamber depth was (1.27±0.20) mm in eyes with ciliary body detachment.Seven eyes of 7 cases (8.54%) measured by UBM and B ultrasound with ciliary body detachment and without choroidal detachment.After the pilocarpine eye dropping was ceased and appropriate amount of glucocorticoid was applied, all the detached ciliary bodies reattached. Conclusion After remission of the acute attack of PACG often cause ciliary body detachment. The direct signs of ciliary detachment are ocular hypotension and shallower anterior chamber. Promptly stopping pilocarpine and the appropriate amount of glucocorticoid is an effective method. Key words: Glaucoma, angle-closure, acute; Detachment, ciliary body; Ultrasound biomicroscope