Ciliary detachment after pars plana vitrectomy: an ultrasound biomicroscopic study.
OBJECTIVE
To determine the incidence, duration, risk factors, and clinical outcomes for ciliary detachment after pars plana vitrectomy (PPV).


METHODS
A total of 109 eyes of 103 patients who underwent PPV for various disease entities were included. Ultrasound biomicroscopy was applied to determine the tomographic features of the ciliary body before and 1, 3, and 7 days after the surgery. All eyes were then examined once weekly for 2 months. Demographic, preoperative, intraoperative, and postoperative parameters were evaluated to assess their predictive value in the formation of postvitrectomy ciliary detachment.


RESULTS
Ciliary detachment was observed in 46 eyes (42%) after surgery and persisted for less than 3 weeks in 40 of 46 eyes. It most frequently occurred in eyes of patients with proliferative diabetic retinopathy (PDR) (64%) or retinal vascular obstructive diseases (RVO) (47%). Extensive retinal photocoagulation and retinal cryopexy positively predisposed to its formation whereas fluid-gas exchange had a protective effect. No clinical complications were observed in eyes with postoperative ciliary detachment.


CONCLUSIONS
Ciliary detachment occurred frequently after PPV. A diagnosis of PDR or RVO and surgical procedures with extensive retinal photocoagulation and retinal cryopexy may have a higher incidence of its occurrence.
Chen
Wei-Li
WL
Department of Ophthalmology, National Taiwan University Hospital, Taipei.
Yang
Chung-May
CM
Chen
Yu-Fang
YF
Yang
Chang-Hao
CH
Shau
Wen-Yi
WY
Huang
Jen-Shang
JS
Ho
Tzyy-Chang
TC
Chen
Muh-Shy
MS
Hung
Por-Tying
PT
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002924:Ciliary Body / Q000000981:diagnostic imaging* / Q000473:pathology; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D011379:Prognosis; D012307:Risk Factors; D013997:Time Factors; D014463:Ultrasonography; D014603:Uveal Diseases / Q000000981:diagnostic imaging* / Q000209:etiology; D014821:Vitrectomy / Q000009:adverse effects*