睫状体固定术联合玻璃体注气治疗外伤性睫状体脱离

目的 评价睫状体固定术联合玻璃体腔注气治疗外伤性睫状体脱离的效果。方法 术前通过超声生物显微镜确诊为外伤性睫状体脱离40例（40眼），随机分成2组：A组20例行单纯的睫状体固定（缝合复位）术；B组20例行睫状体固定术联合玻璃体腔注气术。分析两组临床资料评价其疗效。结果 A组术后眼压升高恢复正常8眼，术后1个月8眼眼压高于14mmHg（1mmHg=0．133kPa），OCT检查黄斑水肿消退，二次手术者2眼，术后2个月眼压高于14mmHg者16眼。B组术后眼压短暂增高至正常者15眼，术后1个月18眼眼压高于14mmHg，OCT检查黄斑水肿消退，无二次手术者。两组术后2个月矫正视力0．4—0．8者分别为40％，55％，0．1～0．3者为30％，20％，〈0．1者为30％，25％。结论 睫状体固定术联合玻璃体腔注气术眼压恢复快，黄斑水肿消退快，视力恢复好。

Cyclopexy combined with intravitreal gas tamponade for traumatic detachment of ciliary body

Objective To evaluate the clinical effect of cyclopexy combined with intravitreal gas tamponade for traumatic detachment of ciliary body. Methods Forty eyes of forty cases with traumatic detachment of ciliary body confirmed by ultrasound biomicroscopy were divided into two groups randomly. The patients of group A （20 cases） only underwent cyclopexy, and patients of group B （20 cases） accepted cyclopexy combined with intravitreal gas tamponade. Results The transient elevated intraocular pressure （IOP） was found in 15 eyes in group B and 8 eyes in group A after the surgery. There were 18 eyes in group B and 8 eyes in group A with IOP over 14 mmHg （1 mmHg =0. 133 kPa） at 1 month postoperatively. The further surgery was nLeeded for 2 cases in group A. Two months after surgery, 16 eyes in group A achieved over 14 mmHg of IOP, the corrected visual acuities of 0.4 -0.8 was in 40% patients of group A and 55% of group B, 0.1 - 0.3 in 30% of group A and in 20% of group B, less than 0.1 in 30% of group A and 25% of group B. Conclusion Cyclopexy combined with intraovitreal gas tamponade can restore lOP faster, resolve macular edema faster and recover better vision than simple cyclopexy for the treatment of traumatic detachment of ciliary body.