Partial Excision of the Ciliary Body in Cases of Severe Secondary Glaucoma

Author(s):  
U. Demeler
2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Jocelyn Chua ◽  
Wisam J. Muen ◽  
Ashwin Reddy ◽  
John Brookes

Ciliary body medulloepitheliomas in childhood often masquerade other intraocular conditions due to its insidious nature as well as its secondary effects on proximal intraocular tissues in the anterior chamber. We report a case where a ciliary body medulloepithelioma in a two-year-old boy presents with chronic uveitis, cataract, and an uncontrolled secondary glaucoma after an innocuous blunt ocular trauma. The diagnosis was only made after the occurrence of a ciliary body mass. We discuss the clinical features of ciliary body medulloepitheliomas, the implications of a delayed diagnosis and treatment as well as the concern of periorbital tumor seeding with the use of an aqueous shunt implant in this case.


2012 ◽  
Vol 93 (6) ◽  
pp. 948-953 ◽  
Author(s):  
A S Tezeva ◽  
A N Samoylov

A review of the literature devoted to eye sarcoidosis is presented. Sarcoidosis is a systemic granulomatous disease of unknown etiology, with a pathognomonic feature of non-caseous granuloma formed mainly by epithelium cells and single Langhans giant cells. Sarcoidosis has many synonyms: Besnier-Boeck-Schaumann disease, benign Schaumann’s granulomatosis, nodular reticular disease. Primary targets of sarcoidosis are lungs, intrathoracic lymph nodes, eyes and skin. During the last years eye sarcoidosis is registered more frequently, that is probably associated with better diagnosis. The frequency of the eye involvement in patients with sarcoidosis, according to different authors, is 5-69% (3rd or 4th among all the target organs involved). The eye manifestations of sarcoidosis are multiple with the uvea most frequently affected, especially iris and ciliary body. The involvement of the back of the eye includes granulomatous uveitis, vitreitis, periphlebitis. It is worth noticing that only minor non-granulomatous precipitates can be found in the acute stage of the disease. In case of chronic inflammatory process, precipitates become granulomatous. The treatment can influence both precipitates’ size and shape. In case of termination of the inflammation, precipitates are undergoing a complete resorption or decrease in size, become pigmented of transparent («precipitate shades»). The feature of sarcoidosis is the tendency to comissure formation, the pupil is hardly dilated by medicines, leading to the secondary glaucoma. Conjunctiva, extraocular muscles, retroocular tissues, lacrimal gland can be involved, as well as the optic nerve, chiasma, leading to meningovascular infiltrates formation. When diagnosed, a complex treatment with topic, symptomatic drugs and the drugs with the systemic action is used. The search of new effective treatment options is still ongoing.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Giuseppe Giannaccare ◽  
Marco Pellegrini ◽  
Federico Bernabei ◽  
Lara Urbini ◽  
Fulvio Bergamini ◽  
...  

AbstractUltrasound cyclo plasty (UCP) is a recently developed surgical technique for glaucoma allowing a selective and controlled coagulation of the ciliary body. We herein investigated the long-term efficacy and safety of UCP for the treatment of glaucoma. This prospective study included patients with primary and secondary glaucoma. All surgeries were performed using the EyeOP1 device (Eye Tech Care, Rillieux-la-Pape, France). Sixty-six patients were included, and 60 completed regularly the 2-year follow-up. Preoperative IOP was 28.5 ± 9.6 mmHg and significantly decreased to 17.0 ± 5.4 at 2 years (p < 0.001). The daily number of both hypotensive eye drops and acetazolamide tablets decreased significantly (respectively, from 2.6 ± 1.1 to 1.7 ± 1.2 and from 0.7 ± 0.8 to 0.2 ± 0.5; both p < 0.001). At 2 years, 68.1% of patients met the definition of qualified success (IOP < 21 mmHg regardless of glaucoma medications) and 10.3% of patients met the definition of complete success (IOP < 21 mmHg without glaucoma medications). No major intra- or postoperative complications occurred; however, 15 eyes required additional glaucoma surgery. These results suggest that UCP is an effective and safe procedure to reduce IOP in glaucoma patients through a 2-year follow-up period.


2013 ◽  
Vol 4 (2) ◽  
pp. 44-47 ◽  
Author(s):  
Sandro Sbordone ◽  
Vito Romano ◽  
Alfonso Savastano ◽  
Valerio Piccirillo ◽  
Maria Cristina Savastano ◽  
...  

1998 ◽  
Vol 1 (1) ◽  
pp. 41-45 ◽  
Author(s):  
Spiess ◽  
Bolliger ◽  
Guscetti ◽  
Haessig ◽  
Lackner ◽  
...  

2019 ◽  
Vol 12 (10) ◽  
pp. e231376 ◽  
Author(s):  
Arpita Maniar ◽  
Saumya Jakati ◽  
Swathi Kaliki

A 1-day-old child was brought to the clinic for evaluation of enlarged right eye (OD). On examination, OD showed buphthalmos with diffuse scleral melanocytosis, fleshy blackish-brown extrascleral mass with corneal extension, and secondary glaucoma. Anterior segment evaluation revealed darkly pigmented iris and fundus evaluation OD revealed a darkly pigmented choroidal lesion. The left eye was within normal limits. A clinical diagnosis of choroidal melanocytoma with ocular melanocytosis was made. Enucleation OD followed by orbital implant was performed. Histopathology showed features of diffuse ocular melanocytosis involving limbus, iris, ciliary body, choroid, sclera, optic nerve head, optic nerve sheath, along with choroidal melanocytoma with extrascleral tumour extension. We presume that choroidal melanocytoma may have arisen from ocular melanocytosis.


2014 ◽  
Vol 23 (7) ◽  
pp. 477-481 ◽  
Author(s):  
Masaaki Seki ◽  
Takeo Fukuchi ◽  
Takaiko Yoshino ◽  
Jun Ueda ◽  
Hiruma Hasebe ◽  
...  

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