Abstract： 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.
伍海建 徐德建 段宏辉 管涛 徐志伟 张令洁. 连续缝纫式缝合术治疗外伤性睫状体离断及其疗效观察[J]. 中华眼视光学与视觉科学杂志, 2020, 22(11): 858-863.
Haijian Wu, Dejian Xu, Honghui Duan, Tao Guan, Zhiwei Xu, Lingjie Zhang. Continuous Suture Reattachment Surgery for Traumatic Cyclodialysis and an Observation of Its Effect. Chinese Journal of Optometry Ophthalmology and Visual science, 2020, 22(11): 858-863. DOI: 10.3760/cma.j.cn115909-20200310-00080
Ioannidis AS, Barton K. Cyclodialysis cleft: Causes and repair. Curr Opin Ophthalmol, 2010, 21(2): 150-154. DOI: 10.1097/ icu.0b013e3283366a4d.
[2]
Karel I, Pitrova S, Lest KJ, et al. Eye injury from a paintball Projectile. Cesk Slov Oftalmol, 2002, 58(3): 171-175.
[3]
葛坚, 刘奕志主编. 眼科手术学. 3版. 北京: 人民卫生出版社, 2015: 617-618.
[4]
Ioannidis AS, Bunce C, Barton K. The evaluation and surgical management of cyclodialysis clefts that have failed to respond to conservative management. Br J Ophthalmol, 2014, 98(4): 544-549. DOI: 10.1136/bjophthalmol-2013-303559.
Agrawal P, Shah P. Long-term outcomes following the surgical repair of traumatic cyclodialysis clefts. Eye (Lond), 2013, 27(12): 1347-1352. DOI: 10.1038/eye.2013.183.
[8]
Xu WW, Huang YF, Wang LQ, et al. Cyclopexy versus vitrectomy combined with intraocular tamponade for treatment of cyclodialysis. Int J Ophthalmol, 2013, 6(2): 187-192. DOI: 10.3980/ j.issn.2222-3959.2013.02.16.
[9]
Medeiros MD, Postorino M, Pallas C, et al. Cyclodialysis induced persistent hypotony: Surgical management with vitrectomy and endotamponade. Retina, 2013, 33(8): 1540- 1546. DOI: 10.1097/IAE.0b013e3182877a41.
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