手术治疗挫伤性睫状体脱离

Surgical trerapy for the contusion cyclodialysis.

目的 探讨挫伤性睫状体脱离的手术方法。方法 用睫状体缝合复位术治疗挫伤后睫状体脱离 2 5例 ,并评价其疗效。结果 12例在术后 3天内眼压恢复正常 ,11例在术后数周或数月内眼压逐渐恢复正常 ,2例经 2次手术后成功。 2 3例术后视力有不同程度提高。术中与术后无明显并发症。结论 睫状体缝合复位术是治疗挫伤后睫状体脱离最有效方法 ,及早手术有利于恢复眼压 ,保护视功能。

Objective To evaluate the method and its effect of surgical therapy for the cyclodialysis caused by contusion.Methods Twenty five cases of the cyclodialysis due to ocular contusion were treated with the surgical reattachment of suturing ciliary body.Results Postoperatively the intraocular tension recovered to normal levels within 3 days in 12 cases,within several weeks or months in 11 cases,and after received the second surgery in 2 cases.The visual acuity was improved differently in 23 cases.There was no obviously complication intra or post operation.Conclusion Surgical reattachment of the ciliary body is the most effective method to treat the hypotony by ocluar contusion.We think it is beneficial to recover the intraocular tension and protect the visual function if operated in time.