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Ciliary surgery for glaucoma.

U Demeler

    Transactions of the Ophthalmological Societies of the United Kingdom
    |January 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

    Ciliary body excision effectively treated intractable glaucoma in 64 eyes, with nearly 80% achieving satisfactory intraocular pressure post-surgery. This surgical approach minimized complications in previously operated eyes.

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    Area of Science:

    • Ophthalmology
    • Surgical Innovation

    Background:

    • Intractable glaucoma often requires advanced surgical intervention.
    • Secondary angle-closure glaucoma with aphakia presents unique treatment challenges.
    • Previous glaucoma surgeries may not achieve sustained intraocular pressure control.

    Purpose of the Study:

    • To evaluate the efficacy and safety of ciliary body excision for intractable glaucoma.
    • To analyze indications, complications, and outcomes of this surgical procedure.
    • To assess the long-term effectiveness in complex glaucoma cases.

    Main Methods:

    • Partial excision of the pars plicata of the ciliary body performed on 64 eyes (75 operations) between 1975 and 1985.
    • Utilized a Fleiringa-ring, paracentesis, and extensive cauterization to minimize intraoperative complications.

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  • Employed double scleral wound closure to reduce postoperative complications like scleral wound dehiscence.

    • Main Results:

    • Nearly 80% of cases achieved satisfactory postoperative intraocular pressure.
    • Intraoperative complications such as vitreous loss and hemorrhage were minimized.
    • Postoperative scleral wound dehiscence was reduced through double scleral closure.

    Conclusions:

    • Ciliary body excision is a viable surgical option for managing intractable glaucoma, particularly in complex cases with prior surgical failures.
    • The described surgical techniques effectively reduce both intraoperative and postoperative complications.
    • Satisfactory long-term intraocular pressure control can be achieved in a significant majority of patients.