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睫状上皮撕裂并发视网膜脱离的临床特点和手术疗效观察 被引量:1

Diagnosis and treatment of ciliary epithelium tear combined with retinal detachment
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摘要 目的探讨睫状上皮撕裂并发视网膜脱离的临床特点和手术疗效。方法回顾性分析16例(17只眼)睫状上皮撕裂并发视网膜脱离患者的临床资料,包括患者临床特征、治疗方法及病情转归。结果16例(17只眼)患者均有眼部钝挫伤史、睫状上皮撕裂并发视网膜脱离,均行巩膜外冷冻-硅胶外加压-环扎术,其中13只眼放视网膜下液,4只眼联合行玻璃体腔注气,术后视网膜全部复位,视力均有不同程度的提高。结论睫状上皮撕裂并发视网膜脱离多发生于眼球钝挫伤后,多位于鼻上象限,超声活体显微镜、前房角镜及间接检眼镜结合巩膜压迫法检查有利于诊断,巩膜扣带术治疗成功率高。 Objective To analyze the clinical characteristics and treatment of the ciliary epithelium tear combined with retina detachment of the eye, and consequently, to reduce mistaken and missed diagnosis and to improve the cure rate. Methods The clinical data, treatment, and follow up results of 17 eyes from 16 cases of ciliary epithelium tear combined with retina detachment were analyzed retrospectively. Results All of the patients had a history of eye trauma. All eyes showed ciliary epithelium tear combined with retina detachment by the fundus examination. All eyes were treated with sclera buckling and cryotherapy. Subretinal fluid draining was applied in 13 eyes and combined pneumatic retinopexy was performed in 4 eyes. The detached retina was reattached in all eyes and visual acuity was improved during the follow up period. Conclusions Ciliary epithelium tear combined with retina detachment always appears after eye injury. The super nasal quadrant is the most frequently affected region. The use of ultrasound biomicroscopy, gonioscope and binocular indirect ophthalmoscopy combined with sclera pressure technique helps to obtain a correct diagnosis. Sclera buckling surgery results in a high success rate.
出处 《中华眼科杂志》 CAS CSCD 北大核心 2007年第12期1093-1096,共4页 Chinese Journal of Ophthalmology
关键词 眼损伤 撕裂伤 视网膜脱离 眼外科手术 Eye injuries Lacerations Retinal detachment Ophthalmologic surgical procedures
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  • 1赵东生,视网膜脱离手术学,1999年,90页
  • 2蔡用舒,创伤眼科学,1988年,367页

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