连续缝纫式缝合术治疗外伤性睫状体离断及其疗效观察

Continuous Suture Reattachment Surgery for Traumatic Cyclodialysis and an Observation of Its Effect

目的:评价外伤性睫状体离断连续缝纫式缝合术的临床效果。方法:回顾性系列病例研究。对13例(13眼)外伤性睫状体离断合并眼内其他闭合性损伤者,行晶状体、玻璃体切除同时采用内路法连续缝纫式缝合复位离断的睫状体,并对其疗效,手术优点及有关注意事项进行分析。结果:术后随访期间经超声生物显微镜及前房角镜检查,所有术眼睫状体复位良好。B超及眼底镜检查无视网膜脱离。除2眼术后2~3 d有一过性高眼压外,所有术眼随访期间眼压均正常,最佳矫正视力均有不同程度的提高。无其他术中及术后相关并发症。结论:睫状体离断内路法连续缝纫式复位术创伤小,手术效果佳,可与虹膜、晶状体、玻璃体等手术同期进行。

Objective:To evaluate the clinical effects of internal continuous suture reattachment surgery for traumatic cyclodialysis.Methods:This was a retrospective case series study.Thirteen patients(13 eyes)with traumatic cyclodialysis that was complicated by other internal trauma of the eye underwent internal continuous suture reattachment surgery with lentectomy and vitrectomy.Analysis was performed on the clinical curative effect,advantages of surgery and matters that needed attention.Results:Ultrasound biomicroscopy and gonioscope examination showed that the ciliary bodies were reattached well and ultrasound B and ophthalmoscope examination showed that there was no retinal detachment during the postoperative follow-up period.IOP was normal in all eyes during the postoperative follow-up period except for 2 eyes with symptoms of transient high IOP 2-3 days postoperatively.BCVA improved to varying degrees postoperatively.There was no case with related complications during or after surgery.Conclusions:The internal continuous suture reattachment surgery for cyclodialysis is a less traumatic surgery and is effective.It can be performed simultaneously with surgery of the iris,lens,vitreous,etc.