实时定位缝合术治疗外伤性睫状体脱离  

Treatment of traumatic ablatio corporis ciliaris by real-time localized saturation

作　　者：樊敏[1] 王大江[2] 王志军[2] 赵丽冬[1] 

机构地区：[1]中国山西省大同市第三人民医院眼科,037008 [2]中国人民解放军总医院眼科,中国北京市100853

出　　处：《国际眼科杂志》2007年第2期549-550,共2页International Eye Science

摘　　要：目的:观察实时定位缝合术治疗外伤性睫状体脱离的手术效果。方法:手术前通过裂隙灯三面镜和超声生物显微镜检查,术中实时定位确定睫状体脱离的位置和范围。本组8例患者均采用改良的睫状体缝合复位术,术后配合用散瞳剂和皮质类固醇类药物控制炎症。结果:所有患者术后观察3～6mo。最佳矫正视力:0.4～1.2。眼压:10～18mmHg(平均14mmHg)。前房、瞳孔、眼底改变均恢复正常。结论:本组8例患者采用术中实时定位,行改良的睫状体缝合复位术治疗外伤性睫状体脱离,取得满意的治疗效果。通过临床观察结果说明该方法是安全、实用、有效的。AIM： To observe the results of the real-time localized suturing reattachment operation for traumatic ablatio corporis ciliaris. METHODS： Preoperatively the eyes were examined by slit lamp three mirror contact lens examination and ultrasound biomicroscopy. During the operation, real-time localization was used to identify the scope and position of ablatio corporis ciliaris. All of the 8 cases underwent the improved saturation. Mydriatic and corticosteried were used after operation. RESULTS： During the follow-up of 3-6 months. The best corrective vision was 0.4-1.2. Intraocular pressure （IOP） was 10-18mmHg （average 14mmHg）. Shallow anterior chamber, deformed pupil and changes of the fundus were all recovered. CONCLUSION： Real-time localization with the improved saturation was a useful, effective and safe method to treat traumatic ablatio corporis ciliaris.

关 键 词：缝合复位术 外伤性睫状体脱离 疗效 散瞳剂 皮质类固醇类药物 

分 类 号：R779.6[医药卫生—眼科]