Ciliary Body Effusion Syndrome Following Cyclophotocoagulation - a Case Report
Fries U.1, Mengedoht K.1,2
1Hosp. of the Order of St. John, Bonn; 2TIMUG, Bonn
Purpose: The ciliary body effusion syndrome is a typical complication following fistulating glaucoma surgery as well as cyclocryocoagulation, rarely after ALT. Key-symptoms are shallow anterior chamber, hypotony, anterotorsion of ciliary processes and ciliary body in the UBM. Further complications can be chamber angle closure and maglinant glaucoma.
Method: A 52-years old lady presents with visual loss, hypotony, shallow antrerior chamber in a high myopic (AL = 30.8mm) pseudophacic eye. There was a little suspension of erythrocyts on the IOL-surface. Ophthalmoscopy showed peripheral chorioidal detachment. Clinical findings arouse suspicion of uveal effusion syndrome. To confirm diagnosis Ultrasoundbiomicroscopy (I3, 20MHz) was done.
Results: The UBM showed a circulary ciliary body detachment continuing into chorioidal detachment only conncted at the scleral spure. Septae were seen as sign of fresh detechment. Anterior was very shallow (less than 2 mm), anterorotation of ciliary processes and ciliary body. The IOL was dislocated anteriorly inside the capsular bag.
Conclusions: Ciliary body effusion syndrome might occur after cyclodestructive procedures even after careful cyclophotocoagulation. Ultrasoundbiomicroscopy is helpful to confirm diagnosis and for follow up.
Zurück | Back