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Antiglaucomatous ciliary body excision.

H Sautter, U Demeler

    American Journal of Ophthalmology
    |September 15, 1984
    PubMed
    Summary
    This summary is machine-generated.

    Ciliary body excision effectively lowered intraocular pressure in many glaucoma patients, especially those with aphakia. However, success was limited in eyes with rubeosis iridis or complications from prior surgeries.

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    Area of Science:

    • Ophthalmology
    • Glaucoma Surgery

    Background:

    • Glaucoma is a leading cause of irreversible blindness.
    • Secondary glaucomas, particularly those with aphakia, present significant treatment challenges.
    • Ciliary body excision is a surgical option for refractory glaucoma.

    Purpose of the Study:

    • To evaluate the efficacy and outcomes of ciliary body excision for secondary glaucomas.
    • To identify factors influencing the success or failure of this procedure.

    Main Methods:

    • Retrospective analysis of 106 ciliary body excisions in 90 eyes (1974-1984).
    • Follow-up data analyzed for intraocular pressure, visual acuity, and complications.
    • Patient history included previous antiglaucomatous procedures and specific glaucoma types.

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    Main Results:

    • 60 of 85 eyes achieved intraocular pressure ≤19 mm Hg post-excision without additional treatment.
    • Success rates varied based on glaucoma type (secondary angle-closure with aphakia showed better response).
    • Failure occurred in 13 eyes due to hypotony, persistent high pressure, rubeosis iridis, or surgical complications.

    Conclusions:

    • Ciliary body excision can be an effective treatment for certain refractory secondary glaucomas, particularly those with aphakia.
    • Careful patient selection is crucial, considering factors like rubeosis iridis and prior surgical history.
    • While offering IOP reduction, potential complications and visual acuity changes necessitate thorough preoperative assessment.