摘要
目的评价复杂的外伤性睫状体断离的临床特点和手术处理方法。方法回顾分析复杂的外伤性睫状体断离111例(111眼)。结果在全部患眼中,除睫状体断离外,均伴有其他眼部病变,主要包括玻璃体视网膜病变75眼(67.57%);晶状体病变62眼(55.85%);眶壁骨折12眼(10.81%);虹膜根部断离10眼(9.01%);前房积血6眼(5.41%)。全部患眼均进行了睫状体复位手术,其中,39眼同时进行了联合手术,手术方式包括:单纯白内障摘出(ECCE)3眼(2.70%);白内障摘出+IOL植入1眼(0.90%);晶状体玻璃体切除26眼(23.42%);晶状体玻璃体切除+IOL手术5眼(4.50%);虹膜修复4眼(3.60%)。结论玻璃体视网膜病变和晶状体病变是最多见的伴随体征。晶状体玻璃体切除是主要的联合手术方式。
Objective To study the clinical characteristics and management of complex traumatic cyclodialysis. Methods 111 cases （ 111 eyes ） of complex cyclodialysis attended Tongren Hospital from April 2001 to January 2007 were retrospectively reviewed. All cases were presented with cyclodialysis combined with other ocular injuries, the characteristics and surgical management were analyzed. Results The major signs included vitreoretinal disorders in 75 cases （67. 57%）, lenticular injury 62 cases （55.85%） ,obital fracture 12 cases（ 10.81% ） ,iridodialysis 10 cases（9.01% ）, hyphema 6 cases （5.41%）. Direct cyclopexy was performed on each case, in addition, 39 cases were underwent combined surgery,including ECCE, ECCE＋ IOL, vitrectomy ＋ lensectomy, vitrectomy ＋ lensectomy ＋ IOL, repair of partial iridodialysis, The percentage of the surgical intervention was relatively 2.70%, 0.90%, 23. 42%, 4. 50%. 3. 60%, Conclusions Vitreoretinal disorders and lenticular injury are the most sings. Vitrectomy ＋ lensectomy is the primary surgical intervention.
出处
《眼外伤职业眼病杂志》
北大核心
2008年第4期249-252,共4页
Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
