大范围睫状体分离间断巩膜瓣下缝合临床探讨  

Clinical study of wide range cyclodialysis sutured under interrupted scleral flaps

作　　者：毛泉报 李真 

机构地区：[1]中国山东省德州市联合医院眼科,253000

出　　处：《国际眼科杂志》2016年第3期537-539,共3页International Eye Science

摘　　要：目的：探讨大范围外伤性睫状体分离（≥180°）间断巩膜瓣下睫状体缝合的手术方法及疗效。方法：对大范围外伤性睫状体分离患者13例13眼,在睫状体分离区域做间断性板层巩膜瓣,每个瓣宽5mm,两瓣之间距离2mm,于巩膜瓣下角膜缘后1.5mm处切透巩膜后板层,行睫状体缝合,术后观察患者眼压、视力、前房深度及手术并发症,随访3~6mo。结果：术后所有患者视力均有不同程度的提高,前房深度恢复正常,未发生严重角膜散光及眼前节缺血等手术并发症。13眼中有11眼（85%）经1次手术睫状体分离完全复位,另2眼（15%）分别在30d及35d行第二次手术后复位;术后出现高眼压8眼,经药物治疗7眼恢复正常,1眼应用降眼压药物控制。结论：大范围外伤性睫状体分离间断巩膜瓣下缝合手术方法简便、效果可靠,可减少手术并发症的发生,是较理想的手术方法。AIM：To explore the operation methods and effects for wide range cyclodialysis（≥180°） sutured under the interrupted scleral flaps.·METHODS：Thirteen patients（13 eyes） with wide range traumatic cyclodialysis received surgeries.Intermittent lamellar scleral flaps were made in the region of cyclodialysis.Each flap was 5mm wide,and the distance between two flaps was 2mm.Then the deep lamellar was cut 1.5mm behind the limbus and the cyclodialysis was sutured.Intraocular pressure,visual acuity,anterior chamber depth and complications after the surgery were observed.The follow-up time was 3 ~6mo.·RESULTS：The visual acuity of all patients improved to varying degrees,the anterior chamber depth returned to normal,and no obvious complications such as severe corneal astigmatism,anterior segment ischemia or others occurred in all patients after the surgery.The cyclodialysis was completely fixed in 11 eyes（85%,13 eyes in total）after the first operation.And the cyclodialysis was completely fixed in other 2 eyes（15%） after the second operation on 30 d and 35 d respectively.Postoperative ocular hypertension occurred in 8 eyes.Seven eyes recovered after giving medication and one eye received sustained intraocular pressure lowering drugs.·CONCLUSION：The operation of wide range cyclodialysis sutured under the interrupted scleral flaps is simple,effective and reliable,and can reduce the occurrence of complications.It is an ideal operation method.

关 键 词：大范围睫状体脱离 眼外伤 手术 间断巩膜瓣 

分 类 号：R779.6[医药卫生—眼科]