A Modified Single-Armed Suture Technique for Traumatic Cyclodialysis Cleft with Vitreoretinal Injury.
A Modified Single-Armed Suture Technique for Traumatic Cyclodialysis Cleft with Vitreoretinal Injury.
复制标题
DOI：
10.3390/jcm12134252
复制
发表时间：
2023-06-25
影响因子：
3.9
通讯作者：
Xiong, Siqi
中科院分区：
文献类型：
--
作者：
Zhang, Xueyong;Wang, Nan;Zheng, Guoli;Liu, Die;Zhang, Quyan;Lei, Wenbo;Xia, Xiaobo;Xiong, Siqi
关键词：
我们的目的是评估一种改良的单臂缝合技术对外伤性睫状体脱离裂合并玻璃体视网膜损伤的治疗效果。该手术涉及在29号针的辅助下使用单臂10-0聚丙烯缝线固定分离的睫状体。本研究纳入了接受改良内睫状体固定术联合玻璃体视网膜手术的外伤性睫状体分离裂合并前后节损伤的患者。超声生物显微镜（UBM）用于诊断和评估睫状体脱离和眼前节损伤。进行B超检查以评估玻璃体、视网膜和脉络膜的状况。记录睫状体断离的手术时间和成功率。记录术前和术后最佳矫正视力（BCVA）和眼内压（IOP）进行评估。该研究包括20只眼睛。睫状体离断的范围为30° ~ 360°。除了外伤性睫状体脱离裂，所纳入的病例还合并玻璃体破裂、视网膜脱离、黄斑裂孔、脉络膜撕脱和脉络膜上腔出血。所有裂隙均在一次手术中解剖闭合。睫状体断离的平均手术时间为2.68 ± 0.54min/30°裂。观察到LogMAR BCVA从术前的2.94 ± 0.93显著改善至6个月随访时的1.81 ± 1.11。眼压从术前的10.90 ± 6.18 mmHg升高至6个月随访时的14.45 ± 2.35 mmHg。改良单臂缝合法是一种有效的睫状体脱离固定方法，可用于脉络膜视网膜病变的修复。提高了最佳矫正视力，维持了眼压，术后并发症少。
Our aim was to assess the therapeutic efficacy of a modified single-arm suture technique on traumatic cyclodialysis cleft with vitreoretinal injury. The procedure involved fixing a detached ciliary body using a single-armed 10-0 polypropylene suture under the assistance of a 29-gauge needle. Patients with a traumatic cyclodialysis cleft combined with an anterior and posterior segment injury who underwent modified internal cyclopexy together with vitreoretinal surgery were enrolled in this study. Ultrasound biomicroscopy (UBM) was used to diagnose and evaluate the cyclodialysis and anterior segment injury. B-scan ultrasonography was performed to assess the condition of the vitreous, retina and choroid. The surgical time and successful rate for repairing the cyclodialysis cleft were recorded. Preoperative and postoperative best-corrected visual acuity (BCVA), and intraocular pressure (IOP) were documented for assessment. The study included 20 eyes. The extent of the cyclodialysis cleft was from 30° to 360°. Besides a traumatic cyclodialysis cleft, the included cases also combined this with vitreous hemorrhages, retinal detachment, macular holes, choroid avulsion, and suprachoroidal hemorrhage. All the clefts were anatomically closed in one surgery. The average surgical time for fixing the cyclodialysis cleft was 2.68 ± 0.54 min/30° cleft. A significant improvement in LogMAR BCVA was observed from 2.94 ± 0.93 preoperatively to 1.81 ± 1.11 at the 6-month follow-up. IOP was elevated from 10.90 ± 6.18 mmHg preoperatively to 14.45 ± 2.35 mmHg at the 6-month follow-up. The modified single-armed suture technique was proved to be an effective method to fix the traumatic cyclodialysis cleft, which could facilitate the use of the procedure to repair chorioretinal disorders. It improved the BCVA and maintained the IOP with less postoperative complications.
登录
查看更多内容
影响因子：
3.9
作者：
Chen H;Yang J;Wang C;Feng X;Feng K;Ma Z
通讯作者：
Ma Z
影响因子：
2.8
作者：
Kahawita, Shyalle;Cugati, Sudha;Casson, Robert
通讯作者：
Casson, Robert
影响因子：
3.7
作者：
Ioannidis, Alexander S.;Barton, Keith
通讯作者：
Barton, Keith
影响因子：
3.9
作者：
Agrawal, P.;Shah, P.
通讯作者：
Shah, P.
影响因子：
4.2
作者：
MAUMENEE, AE;STARK, WJ
通讯作者：
STARK, WJ