Surgical options for cilio-choroidal detachment prevention and treatment

• Published in: Rossiĭskiĭ oftalʹmologicheskiĭ zhurnal Vol. 10; no. 2; pp. 5 - 9
• Main Authors: Babushkin, A.E., Orenburkina, O.I., Chaika, O.V.
• Format: Journal Article
• Language: English
• Published: Real Time Ltd 01.10.2018
• Subjects: cilio-choroidal detachment; fistulizing surgery; glaucoma; prevention; глаукома; профилактика; фистулизирующая хирургия; цилиохориоидальная отслойка
• ISSN: 2072-0076; 2587-5760
• DOI: 10.21516/2072-0076-2017-10-2-5-9

Purpose: the current study was designed to improve drainage options of suprachoroidal space for cilio-choroidal detachment (CCD) prevention and treatment after glaucoma surgeries and to assess their clinical efficacy. Material and methods. A double cross-shaped sclerotomy was proposed to increase the effectiveness of CCD intraoperative prevention and to reduce intervention consequences. It was performed in 49 patients (49 eyes) aged 54-77 years with POAG simultaneously with the main fistulizing surgery within the same area. The control group consisted of 42 patients (45 eyes) who underwent fistulizing surgeries without preventive sclerotomy. For CCD treatment, posterior scleracyclostomy was designed, which was applied to 24 patients (24 eyes) with POAG, aged 52 to 84, who developed CCD aftera fistulizing surgery. The control group of 18 patients (18 eyes) received traditional posterior sclerectomy to treat CCD. Results. Double cross-shaped sclerotomyreduced CCD frequency after fistulizing surgeries by 4.4 times - from 26.7 % to 6.1 %, while the need for surgical treatment of retinal detachment dropped from 50.0 % to 33.3 %. Posterior sclera cyclostomy eliminated CCD in 100 % of cases, in which no relapse occurred, while in the control group the detachment showed a relapse in 16.6 % of cases. Conclusion. The proposed technique of preventive sclerotomy is effective, technically simple, and low traumatic. The designed surgical technique of CCD treatment, posterior sclera cyclostomy, proved to be a more effective way to prevent CCD relapses than conventional posterior sclerectomy // Russian ophthalmological journal. 2017; 10 (2): 5-9. doi: 10.21516/2072-0076-2017-10-2-5-9.