title: Clinical evaluation of traumatic ciliochoroidal detachment with surgical treatment.
abstract: OBJECTIVE
  To determine the clinical features of traumatic ciliochoroidal detachment (CCD), and to evaluate the surgical outcomes.
  
  
  METHODS
  We retrospectively reviewed the records of 37 consecutive patients with traumatic CCD who underwent surgical procedures, including ciliary body suturing, transscleral cyclophotocoagulation, and cyclocryopexy. A complete ocular examination was performed at pre-surgery and at periodical post-surgery follow-ups. We compared visual acuity (VA), intraocular pressure (IOP), and morphologic changes with UBM among the different surgical procedures at the pre-surgery and periodical follow-ups.
  
  
  RESULTS
  The mean IOP was 6.62 mmHg, and the median VA was 20/200 at baseline. The mean final IOP was 11.03 mmHg, and the final median VA improved to 20/50. IOPs were significantly different in post-surgery compared with those at baseline (P = 0.000) among the ciliary body suturing, cyclophotocoagulation, and cyclocryopexy groups. However, no significant differences were noted at each follow-up among the 3 groups (P > 0.05). The post-surgical morphological figures consisted of complete reattachment, partial reattachment, and the complete detachment. Cyclocryopexy (71.4%), suturing (68.4%), and cyclophotocoagulation (63.6%) produced similar surgical outcomes of the complete reattachment based on UBM images.
  
  
  CONCLUSIONS
  Prompt treatment and periodic follow-ups are necessary after traumatic CCD, based on accurate dimensions and configuration by UBM. The appropriate choice of surgical procedures is pivotal for an optimal outcome.
authors.affiliation: Department of Ophthalmology, First Affiliated Hospital of Xi'an Medical University, Xi'an 710077, China. jgyang0077@gmail.com
authors.forename: Jiangang
authors.initials: J
authors.lastname: Yang
authors.affiliation: Department of Ophthalmology, Second Affiliated Hospital of Medical College, Xi'an Jiaotong University, Xi'an 710004, China.
authors.forename: Qianying
authors.initials: Q
authors.lastname: Liu
authors.affiliation: Department of Ophthalmology, First Affiliated Hospital of Xi'an Medical University, Xi'an 710077, China.
authors.forename: Xiaoyan
authors.initials: X
authors.lastname: Li
authors.affiliation: Department of Ophthalmology, First Affiliated Hospital of Xi'an Medical University, Xi'an 710077, China.
authors.forename: Lingxiao
authors.initials: L
authors.lastname: Zhou
authors.affiliation: Department of Ophthalmology, First Affiliated Hospital of Xi'an Medical University, Xi'an 710077, China.
authors.forename: Pengrui
authors.initials: P
authors.lastname: Sun
authors.affiliation: Department of Ophthalmology, Second Affiliated Hospital of Medical College, Xi'an Jiaotong University, Xi'an 710004, China.
authors.forename: XiaoHua
authors.initials: X
authors.lastname: Wang
mesh_terms: D000368:Aged; D002829:Choroid / Q000293:injuries*; D015862:Choroid Diseases / Q000601:surgery*; D002924:Ciliary Body / Q000293:injuries*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007429:Intraocular Pressure; D008028:Light Coagulation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011184:Postoperative Period; D012189:Retrospective Studies; D013536:Suture Techniques; D014065:Tonometry, Ocular; D016896:Treatment Outcome; D014792:Visual Acuity