目的:探讨超声生物显微镜（ultrasound biomicroscopic,UBM）指导下睫状体脱离缝合术的应用效果。方法:分析UBM指导下睫状体脱离缝合术治疗57例外伤性睫状体脱离的临床资料并评价其疗效。结果:睫状体脱离57眼缝合术后,53眼于术后眼压短暂增高后恢复正常;4眼经二次手术后眼压恢复正常。其中,术前UBM检查42眼发现房角漏,占74%。这部分患者,全部一次手术成功。15例未发现房角漏者,11例一次手术成功,4例二次手术成功。48例术后视力有不同程度提高。结论:UBM指导下睫状体缝合复位术是治疗眼挫伤后睫状体脱离的有效方法。

AIM:To evaluate the effect of suturing contusion cyclodialysis cleft under ultrasound biomicroscopic (UBM)．METHODS:To analyze the clinical data of 57 cases with contusion cyclodialysis cleft sutured under UBM and evaluate its effects.RESULTS:In our study of 57 eyes with contusion cyclodialysis cleft sutured under UBM, the intraocular tension recovered to normal shortly after the operation in 53 eyes,the intraocular tension recovered to normal after second operation in 4 eyes. In our cases, we found the site and size of cyclodialysis in 42 eyes (74%) by UBM check before the operation, which were successfully sutured. In the 15 cases who were not found the site and size of cyclodialysis,the operation proved success by first suture in 11 cases, by second suture in 4 cases. Visual acuity improved in 48 cases.CONCLUSION:Suturing of the attachment of the ciliary body under UBM is an effective method to treat contusion cyclodialysis cleft .