外伤性睫状体脱离复位术及并发症处理

Cyclopexy for traumatic cyclodialysis cleft and treatment of complications

目的探讨外伤性睫状体脱离缝合复位的手术效果及并发症处理。方法外伤性睫状体脱离16例（16眼），经前房角镜检查精确定位断离口后，行睫状体脱离复位缝合术。术后随访3～12个月。结果术后视力提高者11例（68．75％）。术后眼压较术前升高（F=12．31，P〈0．05）。总体眼压术后1周趋于稳定，与术后1个月及3个月相比差异无统计学意义（F=1．32，P=0．30）。术后3个月UBM检查睫状体脱离全部复位。结论睫状体脱离复位缝合术是治疗睫状体脱离安全有效的手段。UBM和前房角镜检查可准确的诊断并定位睫状体断离位置，是手术成败的关键因素。

Objective To investigate the efficacy of cyclopexy for traumatic cyclodialysis cleft and treatment of complications. Methods Sixteen eyes of 16 patients with traumatic cyclodialysis cleft underwent cyclopexy surgery. All patients were accurately located the cyclodialysis cleft with gonioscopy. The followed up time was 3-12 months after surgery. Results BCVA after surgery were improved in 11 cases （68.75%）. IOP postoperative were higher than those preoperative （ F = 12. 31, P 〈 0.05 ）. IOP of all cases became stable 1 week postoperatively. The difference was significant among 1 week and 1 month, 3 months postoperatively （ F = 1. 32, P = 0. 30 ）. UBM showed cyclodialysis restoration 3 months after surgery. Conclusion Cyclopexy is a safe and effective treatment for cyclodialysis cleft. The cyelodialysis cleft can be diagnose and locate accurately by UBM and gonioscopy, which is the key factor to success or failure of surgery.