Ophthalmic and systemic risk factors for the development of ciliochoroidal detachment after common glaucoma surgeries
https://doi.org/10.53432/2078-4104-2026-25-2-47-54
Abstract
PURPOSE. To study the incidence and characteristics of ciliochoroidal detachment (CCD) at different time points following minimally invasive glaucoma surgery in patients with primary open-angle glaucoma (POAG).
METHODS. Among 4 513 patients who underwent surgery for POAG between 2020 and 2024, 75 patients (75 eyes; 1.7%) with postoperative CCD were selected. The mean age was 73.5±8.8 years. Two groups were formed: group 1 (54 patients) with CCD developing within the first 3 days after glaucoma surgery, and group 2 (21 patients) with CCD developing later than 3 days postoperatively.
RESULTS. CCD developed more frequently within the first 3 days after glaucoma surgery (54 vs 21 eyes). Early CCD occurred more often in men (38 vs 16), whereas no sex differences were observed in late CCD. No significant differences between groups were found in mean age, ocular morphometric parameters, POAG stages, structure of somatic pathology, glaucoma duration, baseline and postoperative intraocular pressure, or the number and classes of medications used. Late CCD occurred more frequently after cyclophotocoagulation (19% vs 1.9%, p=0.031). Early CCD showed no characteristic features regarding the prevalence of subchoroidal fluid, whereas late CCD was typically limited to 1–2 quadrants (81%).
CONCLUSION. The identified differences in the development of CCD depending on the time period after glaucoma surgery have clinical relevance for its timely diagnosis and treatment.
About the Authors
N. V. Pomytkina
Khabarovsk branch of the S.N. Fedorov National Medical Research Center «MNTK «Eye Microsurgery» ; Far-Eastern State Medical University
Russian Federation
Russian Federation
Cand. Sci. (Med.), ophthalmologist at the Laser Surgery Department, Assistant at the Academic Department of General and Clinical Surgery
211 Tikhookeanskaya St., Khabarovsk, 680033
35 Muraviev-Amurskii St., Khabarovsk, 680000
K. M. Baranova
Khabarovsk branch of the S.N. Fedorov National Medical Research Center «MNTK «Eye Microsurgery»
Russian Federation
Russian Federation
ophthalmologist at the Glaucoma Surgery Department
211 Tikhookeanskaya St., Khabarovsk, 680033
E. L. Sorokin
Khabarovsk branch of the S.N. Fedorov National Medical Research Center «MNTK «Eye Microsurgery» ; Far-Eastern State Medical University
Russian Federation
Russian Federation
Dr. Sci. (Med.), Professor, Deputy Head for Scientific Work, Professor at the Academic Department of General and Clinical Surgery
211 Tikhookeanskaya St., Khabarovsk, 680033
35 Muraviev-Amurskii St., Khabarovsk, 680000
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Review
For citations:
Pomytkina N.V., Baranova K.M., Sorokin E.L. Ophthalmic and systemic risk factors for the development of ciliochoroidal detachment after common glaucoma surgeries. National Journal glaucoma. 2026;25(2):47-54. (In Russ.) https://doi.org/10.53432/2078-4104-2026-25-2-47-54
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