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Related Experiment Videos

Angle-closure glaucoma associated with occult annular ciliary body detachment

J M Liebmann1, R N Weinreb, R Ritch

  • 1Department of Ophthalmology, The New York Eye and Ear Infirmary, New York City, NY 10003, USA.

Archives of Ophthalmology (Chicago, Ill. : 1960)
|June 25, 1998
PubMed
Summary

Occult annular ciliary body detachment can cause postoperative angle-closure glaucoma, mimicking malignant glaucoma. Ultrasound biomicroscopy is key for diagnosing this condition.

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Area of Science:

  • Ophthalmology
  • Glaucoma Research
  • Anterior Segment Imaging

Background:

  • Postoperative angle-closure glaucoma can be a challenging complication.
  • Malignant glaucoma is a severe form of angle-closure glaucoma.
  • Identifying the underlying cause of angle-closure is crucial for effective treatment.

Observation:

  • A case series of 6 patients with postoperative malignant glaucoma was studied.
  • High-resolution anterior segment ultrasound biomicroscopy was utilized.
  • Ophthalmoscopy and B-scan ultrasonography were also performed.

Findings:

  • Annular ciliary body detachment was identified in all 6 eyes using ultrasound biomicroscopy.
  • Patients presented with elevated intraocular pressure and shallow anterior chambers.

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  • Medical treatment or fluid drainage resolved the detachment and improved outcomes in most cases.

    • Implications:

    • Occult annular ciliary body detachment is a potential cause of postoperative angle-closure glaucoma.
    • This condition is clinically similar to malignant glaucoma.
    • Ultrasound biomicroscopy is essential for accurate diagnosis and management.