Clinical evaluation for acute angle closure glaucoma associated with supraciliary effusion: a retrospective case series study

Session Details

Session Title: Glaucoma I

Session Date/Time: Monday 07/09/2015 | 08:00-10:30

Paper Time: 08:12

Venue: Room 10

First Author: : J.Yang CHINA

Co Author(s): :    H. Tian                    

Abstract Details

Purpose:

To demonstrate the clinical features in Chinese patients with supraciliary effusion (SE) after the attack of acute angle-closure glaucoma (AACG), and to evaluate the morphological and functional outcome.

Setting:

Xi'an Eye Hospital, Shaanxi Province Eye Institute, Xi'an, PR, China.

Methods:

In the retrospective study, 26 eyes of 26 consecutive Chinese patients were diagnosed with SE after the medication of lowering intraocular pressure (IOP) for the attack of AACG were enrolled. All patients underwent tonometer, slit-lamp, gonioscopy, ophthalmoscopy and Ultrasound biomicroscopy (UBM). UBM was used to observe the morphology of anterior segment and to assess the grading and quadrant scores of SE. Corticosteroid drops were used till the disappearance of effusion. 23 eyes underwent trabeculectomy with/without phacoemulsification.

Results:

The mean IOP was 9.38 (SD 1.23) mmHg in the diagnosis of SE. UBM showed the shallow anterior chamber, angle closure and anterior rotation of ciliary body. The anterior chamber depth (ACD) was 1.75 (SD 0.17) mm. There was the positive correlation between grade and quadrant score (r=0.581, P=0.002). The effusion on all eyes were recovery after medication with corticosteroids. The duration is 7.35 (SD 4.16) days. The IOP was 14.36 (SD 3.57) mm Hg, and ACD was 1.81 (SD 0.13) mm. During a 6-month follow-up after surgery, the mean final IOP was 16.07 (SD 3.68) mm Hg.

Conclusions:

Supraciliary effusion is an infrequent complication in Chinese patients after the attack of acute angle-closure glaucoma, partially associated with hypotony. Medication with corticosteroids can eliminate the effusion.

Financial Interest:

NONE