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Pediatric intraoperative ciliary block

Adam L Rothman1, Justin H Townsend1, Ta C Chang1

  • 1Bascom Palmer Eye Institute, University of Miami Health System, Miami, Florida.

Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
|May 14, 2021
PubMed

Insights

Pediatric intraocular surgery carries risks similar to adults, including anterior chamber shallowing. A rare case of intraoperative ciliary block in a child was successfully managed with pars plana vitrectomy.

Area of Science:

  • Ophthalmology
  • Pediatric Surgery
  • Glaucoma Management

Background:

  • Intraocular surgery in pediatric patients shares perioperative risks with adults.
  • Assessing anterior chamber shallowing requires a methodical approach in children, mirroring adult protocols.

Observation:

  • A rare case of intraoperative ciliary block occurred during a second glaucoma drainage device implantation in a 3-year-old boy.
  • This complication presented a unique challenge in a pediatric glaucoma patient.

Findings:

  • The intraoperative ciliary block was successfully treated using pars plana vitrectomy.
  • A hyaloid-zonulo-iridectomy was also performed as part of the intervention.

Implications:

  • This case highlights the importance of recognizing and managing ciliary block in pediatric intraocular surgery.
  • Successful treatment with pars plana vitrectomy offers a viable therapeutic option for this rare complication in children.

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