手术治疗睫状体分离的方式选择  

Selection of methods for surgical therapy of cyclodialysis cleft

作　　者：蓝莉娜 陈佳惠 蒋永祥 Lan Lina;Chen Jiahui;Jiang Yongxiang(Department of Ophthalmology,Eye and ENT Hospital of Fudan University,NHC Key Laboratory of Myopia(Fudan University),Key Laboratory of Myopia,Chinese Academy of Medical Sciences,Key Laboratory of Visual Impairment and Restoration of Shanghai,Shanghai 200031,China)

机构地区：[1]复旦大学附属眼耳鼻喉科医院眼科国家卫生健康委员会近视眼重点实验室中国医学科学院近视眼重点实验室上海市视觉损伤与修复重点实验室,上海200031

出　　处：《国际眼科纵览》2020年第3期176-181,共6页International Review of Ophthalmology

基　　金：上海市科学技术委员会科技创新行动计划(18411965200);国家自然科学基金(81770908);国家重点研发计划项目(2018YFC0116000)。

摘　　要：睫状体分离经典的治疗方法包括药物、激光、手术等,其中出现最早、使用最多的是睫状体缝合术.单纯睫状体分离可采用直接或间接睫状体缝合.但睫状体分离常伴有玻璃体视网膜病变、晶状体不全脱位、外伤性白内障等合并症,这些情况无法通过睫状体缝合术一次解决.因此,选择合适的联合手术方式对有合并症的睫状体分离的治疗十分重要,如合并玻璃体视网膜病变时可结合玻璃体切除、冷凝治疗、气体填塞及巩膜扣带术;合并晶状体不全脱位时可采用囊袋张力环或改良囊袋张力环囊袋内植入和人工晶状体植入术等.治疗睫状体分离的联合手术应根据具体情况择优选择.Cyclodialysis cleft is usually treated with medical management,argon laser photocoagulation or surgical procedure.The earliest and most frequently used therapy to eliminate cyclodialysis is direct cyclopexy.Direct cyclopexy and indirect cyclopexy can be used for treating cyclodialysis without comorbidities.However,cyclodialysis is frequently accompanied with vitreoretinopathy,lens subluxation and cataract,which require secondary surgery after cyclopexy.It is critical to combined suitable surgical methods in these situations.For example,vitrectomy,cryotherapy,gas endotamponade and scleral buckling can be adopted when combined with vitreoretinopathy.Insertion of a capsular tension ring or modified capsular tension ring in the capsule bag and implantation of intraocular lens can be used when combined with lens subluxation.Combined surgery should be selected according to other situations of cyclodialysis cleft.

关 键 词：睫状体分离 直接睫状体缝合术 囊袋张力环 

分 类 号：R779.6[医药卫生—眼科]