实时定位缝合术治疗外伤性睫状体脱离

目的:观察实时定位缝合术治疗外伤性睫状体脱离的手术效果.方法:手术前通过裂隙灯三面镜和超声生物显微镜检查,术中实时定位确定睫状体脱离的位置和范围.本组8例患者均采用改良的睫状体缝合复位术,术后配合用散瞳剂和皮质类固醇类药物控制炎症.结果:所有患者术后观察3～6mo.最佳矫正视力:0.4～1.2.眼压:10～18mmHg(平均14mmHg).前房、瞳孔、眼底改变均恢复正常.结论:本组8例患者采用术中实时定位,行改良的睫状体缝合复位术治疗外伤性睫状体脱离,取得满意的治疗效果.通过临床观察结果说明该方法是安全、实用、有效的.

Treatment of traumatic ablatio corporis ciliaris by real-time localized saturation

AIM:To observe the results of the real-time localized suturing reattachment operation for traumatic ablatio corporis ciliaris. METHODS:Preoperatively the eyes were examined by slit lamp three mirror contact lens examination and ultrasound biomicroscopy. During the operation,real-time localization was used to identify the scope and position of ablatio corporis ciliaris. All of the 8 cases underwent the improved saturation. Mydriatic and corticosteriod were used after operation. RESULTS:During the follow-up of 3-6 months. The best corrective vision was 0.4-1.2. Intraocular pressure (IOP) was 10-18mmHg (average 14mmHg). Shallow anterior chamber,deformed pupil and changes of the fundus were all recovered. CONCLUSION:Real-time localization with the improved saturation was a useful,effective and safe method to treat traumatic ablatio corporis ciliaris.