改良连续单直针缝合法治疗早期外伤性睫状体脱离的疗效

Clinical study of modified continuous single straight needle suture in the treatment of early traumatic ciliary body detachment

目的:观察改良的连续单直针缝合法治疗早期外伤性睫状体脱离的临床效果。方法:对我院于2017-07/2018-05收治的外伤所致睫状体脱离伴黄斑水肿患者25例的临床资料进行回顾性分析,术前采用超声生物显微镜(UBM)确定睫状体脱离的部位和范围,应用光学相干断层扫描技术(OCT)观察黄斑水肿情况。在眼球密闭状态下使用改良连续单直针缝合法进行缝合修复,同时滴用扩瞳剂和皮质类固醇类药物控制炎症。术后检测眼压、视力,UBM观察睫状体复位情况,OCT观察黄斑水肿恢复情况。结果:患者术后睫状体脱离基本复位。20眼眼压提高到9~21mmHg,3眼仍低于5mmHg。23眼矫正视力均有提高,2眼视力不提高。黄斑水肿减轻或消退。结论:改良连续单直针缝合法是在玻璃体腔及前房密闭的情况下连续单直针缝合睫状体,是一种微创、安全、有效的手术方式。

AIM:To observe the clinical effect of modified continuous single straight needle suture in the treatment of early traumatic ciliary body detachment.METHODS:Totally 25 patients with cyclodialysis associated with macular edema were retrospectively analyzed during 2017-2018.The range of cycloidalysis was determined by ultrasound biomicroscopy(UBM)and the level of macular edema was observed by optical coherence tomography(OCT)before surgery.In the closed state of the eyeball,the modified continuous single-straight needle suture method was used for suture repair,and mydriasis and corticosteroid drugs were applied to control inflammation.Visual acuity and intraocular pressure were observed after operation.Ciliary body reduction was observed by UBM,OCT was used to observe the recovery of macular edema.RESULTS:Three months after the operation,all the ciliary body detachment of 25 patients were restored,the intraocular pressure returned to normal,the vision was improved,and the macular edema disappeared.CONCLUSION:It is a minimally invasive,safe and effective operation method to suture ciliary body detachment with single straight needle under the closed state of vitreous body cavity and anterior chamber.