实时定位缝合术治疗外伤性睫状体脱离11例

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。...

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Bibliographic Details
Published in国际眼科杂志 Vol. 12; no. 11; pp. 2208 - 2210
Main Author 蒋莉 吴宪巍
Format Journal Article
LanguageChinese
Published 中国辽宁省本溪市中心医院眼科,117000 2012
Subjects
实时定位
睫状体脱离
缝合复位术
实时定位
缝合复位术
睫状体脱离
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Summary: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。
Bibliography: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 acuity0.5 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.
61-1419/R
Li Jiang,Xian-Wei Wu Department of Ophthalmology,Benxi Central Hospital,Benxi 11700
ISSN:1672-5123
DOI:10.3969/j.issn.1672-5123.2012.11.53