孔源性视网膜脱离行巩膜扣带术后发生睫状体水肿  

Ciliary body edema after scleral buckling surgery for rhegmatogenous retinal detachment

作　　者：Kawana K. Okamoto F. Hiraoka T. Oshika T. 潘佳鸿 

机构地区：[1]Department of Ophthalmology, Institute of Clinical Medicine, University of Tsukuba, 1-1-1 Tennoudai, Tsukuba, Ibaraki, 305-8575, Japan Dr.

出　　处：《世界核心医学期刊文摘（眼科学分册）》2006年第5期52-52,共1页Digest of the World Core Medical Journals:Ophthalmology

摘　　要：PURPOSE: Choroidal detachment and anterior chamber (AC)-shallowing develop in some cases after scleral buckling surgery for rhegmatogenous retinal detachment (RD). Postoperative angle-closure glaucoma has been reported to occur in 4%of cases. It is supposed that compression by the local scleral buckling induces ciliary body edema and angle narrowing. This study aimed to evaluate quantitatively the time course of changes in ciliary body thickness and AC depth (ACD) before and after the scleral buckling procedure using ultrasound biomicroscopy. Design: Prospective consecutive case series. Participants: Forty-six eyes of 44 patients (43.7±18.1 years old mean±standard deviation ) undergoing rhegmatogenous RD surgery. Methods: Ciliary body thickness and ACD were measured before and 3, 7, 14, and 28 days after the procedure. Ultrasound biomicroscopy was used to evaluate ACD and ciliary body thickness. Main OutcomeMeasure: Time course of changes in ciliary body thickness and ACD. Results: The surgery caused significant increases in ciliary body thickness at 3, 7, and 14 days postoperatively (P<0.0001, Bonferroni multiple comparison). Ciliary body edema reached its peak 3 days after surgery, followed by a gradual decrease thereafter. Ciliary body thickness in the encircling group was statistically greater than in the segmental buckling group at 3 and 7 days postoperatively (P<0.001, Student’s t test). The ciliary body was significantly thicker in the direction of buckling than on the opposite side 3 days after surgery (P=0.0079). In the encircling group, retinal reattachment surgery significantly decreased ACD 3 days after surgery (P=0.018), whereas no significant fluctuations were found in the buckling group. Conclusions: Even without apparent choroidal detachment and a shallow AC, subclinical ciliary edema existed in all directions of all eyes for at least 1 month after the scleral buckling procedure. The ciliary body in the direction of scleral buckling showed greater edema than the other areas. Eyes treated with Purpose： Choroidal detachment and anterior chamber （AC） -shallowing develop in some cases after scleral buckling surgery for rhegmatogenous retinal detachment （RD）. Postoperative angle-closure glaucoma has been reported to occur in 4% of cases. It is supposed that compression by the local scleral buckling induces ciliary body edema and angle narrowing. This study aimed to evaluate quantitatively the time course of changes in ciliary body thickness and AC depth （ACD） before and after the scleral buckling procedure using ultrasound biomicroscopy. Design： Prospective consecutive case series. Participants： Forty-six eyes of 44 patients （43.7 ±18. 1 years old [mean ±standard deviation]） undergoing rhegmatogenous RD surgery. Methods： Ciliary body thickness and ACD were measured before and 3, 7, 14, and 28 days after the procedure. Ultrasound biomicroscopy was used to evaluate ACD and ciliary body thickness. Main OutcomeMeasure： Time course of changes in ciliary body thickness and ACD. Results： The surgery caused significant increases in ciliary body thickness at 3, 7, and 14 days postoperatively （P 〈0. 0001, Bonferroni multiple comparison）. Ciliary body edema reached its peak 3 days after surgery, followed by a gradual decrease thereafter. Ciliary body thickness in the encircling group was statistically greater than in the segmental buckling group at 3 and 7 days postoperatively （P 〈0. 001, Student＇ s t test） . The ciliary body was significantly thicker in the direction of buckling than on the opposite side 3 days after surgery （P=0. 0079） .

关 键 词：孔源性视网膜脱离 巩膜扣带 睫状体 术后 水肿 超声生物显微镜 闭角型青光眼 脉络膜脱离 前房深度 量化评估 

分 类 号：R774.12[医药卫生—眼科] R774.13[医药卫生—临床医学]