改良式外伤性睫状体解离缝合复位术的临床研究  

Clinical study of modified reposition surgery in the treatment of traumatic cyclodialysis

作　　者：刘鹏飞 Peng-Fei Liu(Department of Ophthalmology,Tangshan Jidong Eye Hospital,Tangshan 063000,Hebei Province,China)

机构地区：[1]唐山冀东眼科医院眼外伤眼底病科

出　　处：《国际眼科杂志》2020年第1期171-173,共3页International Eye Science

摘　　要：目的:评估改良式外伤性睫状体解离缝合复位术的手术效果,以探索睫状体解离更理想的手术方案。方法:选取外伤性睫状体解离患者33例33眼,超声生物显微镜(UBM)检查定位离断口范围后,采用改良式睫状体解离缝合复位术。术后随访3~6mo,观察术后睫状体复位、眼压、视力和并发症情况。结果:术后1wk复查UBM,30例30眼睫状体完全复位,3例3眼局部有睫状体浅脱离,术后15d复查UBM睫状体完全复位。术后20例20眼眼压高,早期眼压高17例17眼,3d后眼压恢复正常;1眼1wk后眼压恢复正常;2眼眼压高者药物不能控制至正常,1眼2mo后行抗青光眼手术,1眼行睫状体激光光凝术,术后眼压均控制正常。术后视力均有不同程度改善,未见眼前段缺血并发症和角膜大散光。结论:改良式睫状体解离复位缝合术操作简单安全、疗效可靠、术源性损伤小,并发症少。AIM:To evaluate the therapeutical effects of modified reposition surgery in the treatment of traumatic cyclodialysis,and to explore a better surgical method for traumatic cyclodialysis.METHODS:Totally 33 cases diagnosed of traumatic cyclodialysis were brought into observation.After accurately dialysis location of ciliary body through ultrasonic biological microscope,all cases received modified ciliary body reposition surgery.The period of follow-up was three to six months after surgery.The observation items included ciliary body status,intraocular pressure,visual acuity and complications and so on.RESULTS:Among them,30 cases were completely reposition during 1wk after surgery,3 cases were found partial cyclodialysis,and then after half a month the three cases above got desirable outcome.Twenty cases were observed high intraocular pressure after surgery,17 cases of which had high intraocular pressure returned to normal in 3d,1 case of which had high intraocular pressure returned to normal in 1wk.2 cases of which had high intraocular pressure were out of control through medicine,finally received anti-glaucoma surgery in 1 case,and the other one case underwent ciliary body laser photocoagulation and the high intraocular pressure was effectively controlled.Postoperative visual acuity was improved to some extent.There was no anterior segment ischemia or corneal macro astigmatism in all cases.CONCLUSION:The modified reposition surgery in treating traumatic cyclodialysis is a simple,safe,effective,less iatrogenic injuries and fewer complications.It is worthy of clinical application.

关 键 词：改良 外伤性 睫状体解离 复位 缝合 

分 类 号：R68[医药卫生—骨科学]