睫状体断离的研究进展  

The progress on research of cyclodialysis cleft

作　　者：张淳 肖睿涵 邱婉璐 王安安[1] Zhang Chun;Xiao Ruihan;Qiu Wanlu;Wang Anan(Department of Ocular Trauma,Affiliated Eye Hospital of Nanchang University,Nanchang 330006,China)

机构地区：[1]南昌大学附属眼科医院眼外伤科,南昌330006

出　　处：《中华眼外伤职业眼病杂志》2021年第11期875-880,共6页Chinese Journal of Ocular Trauma and Occupational Eye Disease

基　　金：南昌大学科研训练项目(4556,4557)。

摘　　要：睫状体断离是指由挫伤或手术引起的睫状体纵行肌与巩膜突之间的分离。睫状体断离使房水流出增加,同时可伴随睫状体上皮水肿,房水生成减少,导致低眼压,并可引起屈光改变、白内障、视盘水肿及脉络膜脱离等多种并发症。以上情况都会造成视力减退,如果不及时治疗,还会导致永久性视力丧失。前房角镜检查是睫状体断离最基础的检查方法,而新的辅助诊断方法如超声生物显微镜检查,眼前段光学相干断层扫描及磁共振成像等不断出现。与此同时,治疗方法也在不断更新。但由于睫状体断离发病率较低,且不同治疗手段的效果不同,眼科医生对睫状体断离的诊治认识也不一致。本文拟综述睫状体断离的发病机制,诊断和治疗研究进展。Cyclodialysis cleft,which is caused by blunt trauma or surgery,describes the disinsertion of longitudinal ciliary muscle fibers from the scleral spur.It increases the drainage of the aqueous humor and decreases aqueous humor production due to epithelial edema of the ciliary body,which can manifest ocular hypotony.Ocular hypotony can cause several secondary complications,such as refractive changes,cataracts,optic disc swelling,and detachment of the choroid.All these diseases can lead to visual impairment,if not treated in time,or permanent vision loss.Gonioscopy is the most basic examination method for cyclodialysis.However,new auxiliary diagnostic methods,such as ultrasonic biological microscopy,anterior segment optical coherence tomography,and magnetic resonance imaging,continue to appear.Meanwhile,treatment methods are constantly updated.But due to the low incidence of cyclodialysis and different effects of different treatment methods,the diagnosis and treatment of cyclodialysis by ophthalmologists are not sufficiently consistent.This article reviews the pathogenesis,diagnosis,and treatment of ciliary body separation.

关 键 词：睫状体断离 低眼压 玻璃体切除术 眼内填充术 睫状体固定术 

分 类 号：R779.6[医药卫生—眼科]