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Non-pupillary block angle closure mechanism of secondary glaucoma associated with bilateral cysts of the ciliary body

Poster Details

First Author: M.Zoric Geber CROATIA

Co Author(s):    T. Lovric   Z. Vatavuk                 

Abstract Details

Purpose:

To report a case of poorly controlled, far-advanced secondary glaucoma due to bilateral cysts of the ciliary body.

Setting:

University Department of Ophthalmology and Optometry University Hospital Center Sestre milosrdnice, Zagreb, Croatia

Methods:

The patient was reffered to our clinic for operative treatment of primary angulary glaucoma. Medical history showed that intraocular pressure of both eyes was elevated up to 40 mmHg, and with maximal local medicamentous therapy up to 28 mmHg. Clinical examination in dilated pupils showed bilateral ciliary masses retropupillary. Gonioscopy showed bilateral synechial angle closure. Anterior segment-optical coherence tomography and ultrasound biomicroscopy detected ring-shaped ciliary masses in the both eyes.After thorough diagnostic work-up, diagnosis of advanced secondary angle closure glaucoma due to bilateral ciliary cysts was obtained and patient underwent glaucoma filtration surgery

Results:

No serious intraoperative complications occurred during surgery in both eyes.Surgical procedure produced a significant reduction in IOP. An IOP ranged between 12-14 mmHg detected during six postoperative months without medications and 14-16 mmHg during another six months. At postoperative last visit after 12 months IOP was 14 mmHg without antiglaucoma medications. Postoperative functional and structural tests showed no progression in both eyes.

Conclusions:

The manifestation of undetected cysts of the ciliary body may caused secondary glaucoma. Dealing with glaucoma patients, we must not forget the importance of full ophtalmic examination, and consider its rare causes like ciliary body cysts to achieve better treatment outcomes.

Financial Disclosure:

NONE

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