广泛性外伤性睫状体脱离分段缝合术的效果

目的 探讨广泛性睫状体脱离分段缝合手术的效果。方法 对12例（12眼）外伤性睫状体脱离，睫状体脱离范围〉180。。术中在睫状体脱离区域做巩膜瓣，于角膜缘后1．5mm处做切口，用10-0尼龙缝线分段性缝合睫状体脱离。结果 手术后患者随访1—6月。有8眼（66．67％）在第一次手术后1—2周内眼压恢复到9～21mmHg（1mmHg=0．133kPa）；其他4眼（33．33％）术后眼压仍然低于9mmHg，分别在20～45d后行第二次手术，术后2周内眼压恢复正常。在随访结束时，有10眼（83．33％）视力均有改善；另2眼（16．67％）因白内障、玻璃体积血和视网膜挫伤疾病未显著改善。结论 睫状体脱离分段缝合复位术是一种简单、有效的治疗外伤性睫状体脱离的术式。

The efficacy of segmental suturing for extensive traumatic ciliary body detachment

Objective To evaluate the efficacy of segmental suturing for extensive traumatic ciliary body detachment. Methods It was a series study. Twelve eyes of twelve cases with traumatic ciliary body detachment in our center were involved. The extent of ciliary body detachment was more than 180° in all cases. During surgery, the detached ciliary bodies region were directly sutured by 10-0 nylon sutures in the incision 1.5 mm posterior to limbus. After surgery, the patients were followed up for 1 to 6 month. Results One to two weeks after first ciliary body suturing, the intraocular pressure in 8 cases （66.67%） restored to 9 ~ 21 mmHg （ 1 mmHg = 0. 133 kPa）. The other 4 eyes （33.33%） were still less than 9 mmHg, which had undergone a secondary surgery 20 to 45 days after the first surgery, and the IOP restored to normal in two weeks. At the end of following up, the visual acuities in 10 cases （83.33%） were improved; the other 2 cases had no significant improvement because of cataract, vitreous hemorrage and retinal contusion.Conclusion Segmental ciliary body suturing is an effective and simple therapy for patients with extensive traumatic ciliary body detachment.