实时定位缝合术治疗外伤性睫状体脱离11例

Treatment of traumatic ciliary body detachment by real-time localized saturation

摘要:

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：选择术前通过房角镜和超声生物显微镜(UBM)检查明确诊断为外伤性睫状体脱离的患者11例11眼，术中利用房角镜实时定位，确定睫状体脱离的位置和范围，并观察缝合效果。

结果：所有患者术中未出现任何并发症，术后观察3～12mo，除术前已无光感的1例患者外，其余均有明显的视力提高，其中视力0.5以上者5例，0.3～0.5者4例， 0.1者1例。眼压：10～18(平均14)mmHg。前房、瞳孔、眼底改变均恢复正常。

结论：本组11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，手术效果确切、并发症少，是一种值得推荐的手术方式。

Abstract:

AIM: To observe the results of the real-time localized suturing reattachment operation for traumatic ciliary body detachment.

METHODS: Preoperatively the eyes were examined by slit lamp three mirror contact lens examination and ultrasound biomicroscopy(UBM). During the operation, real-time localization was used to identify the scope and position of ablatio corporis ciliaris. All of the 11 cases underwent the improved saturation.

RESULTS: During the follow-up of 3-12 months, visual acuity was improved in all the other patinets except the one with preoperative visual acuity of no light perception, visual acuity>0.5 in 5 cases,0.3-0.5 in 4 cases and 0.1 in one case. Intraocular pressure(IOP)was 10-18mmHg. Shallow anterior chamber, deformed pupil and changes of the fundus were all recovered.

CONCLUSION: Real-time localization with the improved saturation is a useful, effective and safe method to treat traumatic ablatio corporis ciliaris.