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外伤性睫状体解离19例的诊断和治疗

姜彩辉 张卯年 崔春红 王丽强

国际眼科杂志2004,Vol.4Issue(1):29-32,4.
国际眼科杂志2004,Vol.4Issue(1):29-32,4.

外伤性睫状体解离19例的诊断和治疗

Diagnosis and treatment of 19 patients with traumatic cyclodialysis

姜彩辉 1张卯年 1崔春红 1王丽强1

作者信息

  • 1. 100853,中国北京解放军总医院眼科
  • 折叠

摘要

Abstract

AIM: To evaluate the diagnosis and treatment of traumatic cyclodialysis and its complications.METHODS: Nineteen consecutive patients (19 eyes),12 men and 7 women, with the diagnosis of traumatic cyclodialysis following ocular injuries were admitted from January 1993 to June 2003. The patients ranged from 6to 44 years (mean 25 years) in age. Presenting intraocular pressure ranged from 0 to 10 mmHg. Surgical cyclopexy was performed on 14 patients, of whom, 3 underwent combined scleral buckling and cryotherapy and 4underwent an improved ciliary fixation surgery. Three patients underwent conservative management, and 2 underwent Argon laser photocoagulation.RESULTS: Of the 14 patients underwent surgical cyclopexy, cyclodialysis cleft was successfully closed with 1operation in 9 patients, with 2 operations in 3 patients,with 3 operations in 2 patients. Postoperative follow-up ranged from 1 month to 8 years. Postoperatively, intraocular pressure was 6 to 20mmHg (mean 11.24mmHg), and visual acuity was significantly improved.CONCLUSION: Surgical cyclopexy is a successful treatment for traumatic cyclodialysis; improved surgical procedure may further increase success rate; ultrasound biomi-croscopy can accurately diagnose the presence of traumatic cyclodialyses and can aid in surgical management.

关键词

外伤性睫状体解离/并发症/临床分析

Key words

traumatic cyclodialysis/hypotony/clinical analysis

分类

医药卫生

引用本文复制引用

姜彩辉,张卯年,崔春红,王丽强..外伤性睫状体解离19例的诊断和治疗[J].国际眼科杂志,2004,4(1):29-32,4.

基金项目

中国解放军"十五"科研基金资助(No:01MA113) (No:01MA113)

国际眼科杂志

OACSTPCD

1672-5123

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