眼挫伤后睫状体脱离的UBM观察

目的:超声生物显微镜(ultrasound biomicroscopy,UBM)观察眼挫伤后睫状体脱离的特点,并评价UBM指导下睫状体缝合手术治疗眼挫伤后睫状体脱离的临床效果。方法:应用UBM观察30例30眼因眼球挫伤导致睫状体脱离的特点,其中5例5眼行房角漏对应位置和范围的睫状体缝合复位手术,观察视力、眼压及复查UBM及B超(其余患者为门诊患者,具体治疗及预后情况不详)。结果:UBM检查示不同程度的睫状体脱离,27眼为全周睫状体脱离,26眼存在房角漏口,平均中央前房深度(1.830±0.575)mm。5眼行房角漏对应位置和范围的睫状体缝合复位手术后,所有患者房角漏口全部封闭,全周睫状体脉络膜脱离痊愈,前房加深,视力提高,眼压上升至正常。5眼中,4眼行1次手术后睫状体脉络膜脱离痊愈,1眼行4次手术后痊愈。结论:UBM是诊断眼挫伤后睫状体脱离的较好的工具,UBM指导下睫状体缝合手术治疗房角漏的临床效果好,UBM对于眼挫伤致睫状体脱离的临床诊断、治疗和随访具有指导意义。

Ultrasound biomicroscopy observation on traumatic cyclodialysis cleft

AIM:To analyze the features of traumatic cyclodialysis cleft by ultrasound biomicroscopy(UBM) and summarize the results of ciliary body suture with UBM in traumatic cyclodialysis cleft·METHODS:Totally 30 eyes of 30 patients with post-traumatic ciliary body detachment were diagnosed by UBM examination,with the localization and range of cyclodialysis cleft.Among them,5 eyes of 5 patients were treated with ciliary body suture according to the results of UBM examination.Patients were examined postoperatively on visual acuity,intraocular pressure(IOP),and UBM and ultrasonography re-examination·RESULTS:All patients had cyclodialysis detachment,90%(27/30)had full cyclodialysis detachment,and 87%(26/30)had cyclodialysis cleft,the mean ACD was(1.830±0.575)mm.5 patients of them had been treated by ciliary body suture with UBM.The IOP of 4 patients was normal after the first surgery,the IOP of 1 patient was normal after the fourth surgery.Ciliary body of all patients after surgery was adhered to sclera,anterior chamber was deepened,and visual acuity was improved·CONCLUSION:UBM is a useful method for appropriate diagnosis of traumatic cyclodialysis cleft.Ciliary body suture with UBM is an effective surgery for treatment of traumatic cyclodialysis cleft.UBM can be of great value in the diagnosis,management and follow-up of patients with traumatic cyclodialysis cleft.