【摘要】  　　目的：观察实时定位缝合术治疗外伤性睫状体脱离的手术效果。方法：手术前通过裂隙灯三面镜和超声生物显微镜检查，术中实时定位确定睫状体脱离的位置和范围。本组8例患者均采用改良的睫状体缝合复位术,术后配合用散瞳剂和皮质类固醇类药物控制炎症。结果：所有患者术后观察3～6mo。最佳矫正视力：0.4～1.2。眼压：10～18mmHg（平均14mmHg）。前房、瞳孔、眼底改变均恢复正常。结论:本组8例患者采用术中实时定位，行改良的睫状体缝合复位术治疗外伤性睫状体脱离，取得满意的治疗效果。通过临床观察结果说明该方法是安全、实用、有效的。

【关键词】  睫状体脱离；缝合复位术

　　Treatment of traumatic ablatio corporis ciliaris by real-time localized saturation

    Min Fan 1, Da-Jiang Wang2, Zhi-Jun Wang2, Li-Dong Zhao1

    1Department of Ophthalmology, the Third People's Hospital, Datong 037008, ShanXi Province, China; 2Department of Ophthalmology, General Hospital of Chinese PLA, Beijing 100853, China.

     Abstract AIM: To observe the results of the real-time localized suturing reattachment operation for traumatic ablatio corporis ciliaris. METHODS: Preoperatively the eyes were examined by slit lamp three mirror contact lens examination and ultrasound biomicroscopy. During the operation, real-time localization was used to identify the scope and position of ablatio corporis ciliaris. All of the 8 cases underwent the improved saturation. Mydriatic and corticosteriod were used after operation. RESULTS: During the follow-up of 3-6 months. The best corrective vision was 0.4-1.2. Intraocular pressure (IOP) was 10-18mmHg (average 14mmHg). Shallow anterior chamber, deformed pupil and changes of the fundus were all recovered. CONCLUSION: Real-time localization with the improved saturation was a useful, effective and safe method to treat traumatic ablatio corporis ciliaris.

    · KEYWORDS: ablatio corporis ciliaris; suturing reattachment operation

　　0引言

    眼球钝挫伤时的暴力作用可导致局部睫状体从巩膜突附着处分离，此情况称为睫状体解离。房水经睫状体解离口进入睫状体上腔引起睫状体脱离，伤眼会出现视力下降、调节力下降或丧失、浅前房、低眼压、视网膜和视神经乳头水肿以及后极部视网膜条纹等。由于睫状体解离口自行闭合的机会很少，所以治疗外伤性睫状体脱离以手术为主。2004/2005，我们采用实时定位缝合的方法治疗8例8眼，取得一次手术成功的疗效，现报告如下。

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