Clinical Evaluation of Traumatic Ciliochoroidal Detachment with Surgical Treatment
摘要
Purpose: To determine the clinical features of traumatic ciliochoroidal detachment(CCD), and to evaluate the surgical outcomes.Methods: We retrospectively reviewed the records of 37 consecutive patients with traumatic CCD who underwent surgical procedures,.including ciliary body suturing,.transscleral cyclophotocoagulation,.and cyclocryopexy..A complete ocular examination was performed at pre-surgery and at periodical post-surgery follow-ups. We compared visual acuity(VA),intraocular pressure.(IOP),.and morphologic changes with UBM among the different surgical procedures at the presurgery and periodical follow-ups.Results:.The mean IOP was 6.62 mmHg, and the median VA was 20 / 200 at baseline..The mean final IOP was 11.03mmHg,.and the final median VA improved to 20 / 50..IOPs were significantly different in post-surgery compared with those at baseline(P=0.000) among the ciliary body suturing,cyclophotocoagulation, and cyclocryopexy groups. However,no significant differences were noted at each follow-up among the 3 groups(P>0.05). The post-surgical morphological figures consisted of complete reattachment, partial reattachment,and the complete detachment. Cyclocryopexy(71.4%), suturing(68.4%), and cyclophotocoagulation(63.6%) produced similar surgical outcomes of the complete reattachment based on UBM images.Conclusion:Prompt treatment and periodic follow-ups are necessary after traumatic CCD, based on accurate dimensions and configuration by UBM. The appropriate choice of surgical procedures is pivotal for an optimal outcome.
