Risk factors for development of phthisis bulbi in patients with posttraumatic ciliochoroidal detachment
DOI:
https://doi.org/10.31288/oftalmolzh201623436Keywords:
ocular trauma, ciliochoroidal detachment, risk factors, phthisis bulbiAbstract
Background: Ciliochoroidal detachment (CCD) is one of the most severe traumatic ocular injuries that aggravates the course of post-traumatic process, usually results in phthisis bulbi and eye destruction, and is found in 9.0% to 30.8% of ocular trauma patients. Purpose: To determine the risk factors for the development of phthisis bulbi in severe ocular trauma patients with CCD based on the analysis of clinical course and treatment outcomes. Materials and Methods: We retrospectively reviewed the charts of 77 patients (77 eyes) with severe ocular trauma complicated by CCD who underwent treatment at the Filatov Institute during 2013 to 2015. The Aviso Ultrasound Biomicroscopy Unit (Quantel Medical, France) with 20-MHz and 50-MHz short focus probes had been used to evaluate the position of the ciliary body and the height of the detachment. Results: Phthisis bulbi was found to develop in 80% of patients with annular CCD, in 45.0% of patients with penetrating corneal and scleral injuries complicated by retinal detachment, and in 27.5% of patients with ocular contusion followed by rupture of ocular tunics and retinal detachment. Conclusion: Extent of CCD and specific types of ocular injury (a penetrating corneoscleral injury complicated by retinal detachment as well as an ocular contusion with rupture of the ocular tunics) are the main risk factors for the development of phthisis bulbi in severe ocular trauma patients with CCD.References
1. Hammer ME, Grizzard WS. Endoscopy for evaluation and treatment of the ciliary body in hypotony. Retina. 2003 Feb;23(1):30-6.
2. Kapeliushnikova NI. [Lasers in management of ciliochoroidal detachment following mechanical eye unjury]. [Cand Sc (Med) Thesis]. Moscow: Helmholtz Research Institute for Eye Diseases; 2003. 121 p. Russian
3. Melianchenko NB. [Acute ocular hypotony]. Kemerovo: InSEPZ; 2013. 156 p. Russian
4. Stepanov AV, Ivanov AN, Kapeliushnikova NI. [Comparative evaluation of treatment methods in posttraumatic ciliary-choroidal detachment]. Vestn Oftalmol. 2003 Jan-Feb;119(1):24-6. Russian
5. Coleman DJ. Evaluation of ciliary body detachment in hypotony. Retina. 1995;15(4):312-8. https://doi.org/10.1097/00006982-199515040-00008
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Н. А. Чуднявцева, Ю. Н. Родина, Л. А. Григоращенко
This work is licensed under a Creative Commons Attribution 4.0 International License.
This work is licensed under a Creative Commons Attribution 4.0 International (CC BY 4.0) that allows users to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author as long as they cite the source.
COPYRIGHT NOTICE
Authors who publish in this journal agree to the following terms:
- Authors hold copyright immediately after publication of their works and retain publishing rights without any restrictions.
- The copyright commencement date complies the publication date of the issue, where the article is included in.
DEPOSIT POLICY
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) during the editorial process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work with an acknowledgement of its initial publication in this journal.
- Post-print (post-refereeing manuscript version) and publisher's PDF-version self-archiving is allowed.
- Archiving the pre-print (pre-refereeing manuscript version) not allowed.
