Angle-closure glaucoma associated with occult annular ciliary body detachment

Arch Ophthalmol. 1998 Jun;116(6):731-5. doi: 10.1001/archopht.116.6.731.


Objective: To evaluate the role of annular ciliary body detachment in the development of postoperative angle-closure glaucoma.

Design: Case series.

Setting: Tertiary care glaucoma referral center.

Methods: High-resolution, anterior segment ultrasound biomicroscopy, ophthalmoscopy, and B-scan ultrasonography were performed on 6 eyes of 6 patients with a clinical diagnosis of postoperative malignant glaucoma.

Results: Each eye had an elevated intraocular pressure, a shallow anterior chamber, 1 or more patent iridectomies, and no ophthalmoscopic or B-scan ultrasound evidence of serous or hemorrhagic ciliochoroidal detachment. Ultrasound biomicroscopy revealed annular ciliary body detachment in each eye. In 4 eyes, observation with topical medical treatment was associated with deepening of the anterior chamber, reduced intraocular pressure, and resolution of the detachment. Drainage of the supraciliary fluid was performed in 2 eyes.

Conclusion: Occult, annular, serous detachment of the ciliary body may cause postoperative angle-closure glaucoma. This entity is clinically indistinguishable from malignant glaucoma. Ultrasound biomicroscopy facilitates the diagnosis.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Anterior Chamber / diagnostic imaging
  • Ciliary Body / diagnostic imaging
  • Ciliary Body / drug effects
  • Ciliary Body / pathology*
  • Female
  • Glaucoma, Angle-Closure / complications
  • Glaucoma, Angle-Closure / diagnostic imaging
  • Glaucoma, Angle-Closure / etiology*
  • Glaucoma, Angle-Closure / surgery
  • Humans
  • Intraocular Pressure
  • Iris / surgery
  • Male
  • Ophthalmoscopy
  • Rupture, Spontaneous / complications
  • Rupture, Spontaneous / diagnostic imaging
  • Rupture, Spontaneous / drug therapy
  • Trabeculectomy
  • Ultrasonography
  • Uveal Diseases / complications*
  • Uveal Diseases / diagnostic imaging
  • Uveal Diseases / drug therapy