Pharmacotherapy Of Two Cases Of Post-traumatic Ciliary Body Detachment And Research Advances

Post-traumatic ciliary body detachment can be caused by traumatism with concussion or iatrogenically after filtrating glaucoma surgery. One of the consequences of cyclodialysis is the opening of a communication pathway between the anterior chamber and the supra-choroidal space, which determines a persistent ocular hypotony which may compromise vision as a result of associated complications such as choroidal detachment, athalamia, chorio-retinal folds in the macular region, optic nerve edema, retinal venous stasis and cataracts. The loss of vision secondary to macular edema can be permanent if not treated in time. All treatments aim at changing the location of the meridional portion of the ciliary body over its insertion in the scleral spur and this closes the flow of aqueous humor towards the supra-choroidal space, the cause of the maculopathy and papillary edema due to hypotony. Ocular contusion can cause abnormal intraocular pressure, therefore ophthalmologist should think highly of it. In this article, we have reported two cases of post-traumatic ciliary body detachment which we treated them by pharmacotherapy, analyzed the pathogenesis of low intraocular pressure caused by Post-traumatic ciliary body detachment and summarized the clinical manifestation, inspection method, diagnosisb and treatment.