超声生物显微镜在外伤性睫状体分离手术前后的临床应用

Peri-operative Examination for Traumatic Cyclodialysis with Ultrasonic Biomicroscopy

目的探讨超声生物显微镜(UBM)在外伤性睫状体分离围手术期检查中的应用。方法对33例(33只眼)临床诊断为睫状体分离的病例进行UBM检查,并观察手术治疗前后睫状体形态学改变。结果33例确诊为360°睫状体脱离,睫状体与巩膜突分离>2个钟点。手术缝合治疗1个月后,部分病例睫状体分离或脱离间隙消失,余者有不同程度缩小,3个月后全部复位。结论UBM检查对外伤性睫状体分离是安全有效的诊断方法,并对治疗方法的选择具有重要的指导价值。

Objective To explore the use of Ultrasonic Biomicroscopy （UBM） for peri-operative examination of traumatic cyclodialysis. Methods UBM was used in 33 eyes of 33 cases who were diagnosed as traumatic cyclodialysis. The morphologic characters were observed peri-operatively. Results Ciliary detachment of 360° was verified in the 33 eyes with cyclodialysis of more than 2 clock hours. 1 month after cyclopexy, the space of ciliary detachment disappeared or diminished and all reattached 3 months after operation. Condusion UBM is safe and effective for checking traumatic cyclodialysis.