Four cases of hypotony maculopathy caused by traumatic cyclodialysis and treated by vitrectomy, cryotherapy, and gas tamponade
Four cases of hypotony maculopathy caused by traumatic cyclodialysis and treated by vitrectomy, cryotherapy, and gas tamponade
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DOI：
10.1007/s00417-005-0134-0
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发表时间：
2006-07-01
影响因子：
2.7
通讯作者：
Nakazawa, Mitsuru
中科院分区：
文献类型：
--
作者：
Takaya, Kaori;Suzuki, Yukihiko;Nakazawa, Mitsuru
本文报告4例外伤性睫状体脱离致低眼压性黄斑病变的玻璃体切除联合白内障手术治疗结果，术前患者视力为光感~ 0.2，眼压为4.7 ~ 5.7mmHg（平均5.1mmHg）。超声生物显微镜（UBM）显示睫状体脱离180度至360度。行玻璃体切除联合白内障手术，睫状体脱离行睫状体平坦部冷冻固定术，并行SF6气体填充，术后UBM显示2眼睫状体脱离和/或睫状体脱离全周消失，1眼睫状体脱离和/或睫状体脱离部分维持在15 °，1眼睫状体脱离部分维持在30 °。术后视力0.06 ~ 1.2，眼压9.0 ~ 14.7mmHg（平均12.2mmHg），综合治疗对睫状体脱离的闭合和粘连及低眼压的恢复是可靠的。
We report our results in four cases of hypotony maculopathy caused by traumatic cyclodialysis and treated by combined vitrectomy and cataract surgery.The patients' visual acuities ranged from light perception to 0.2, and intraocular pressures ranged from 4.7 to 5.7 mmHg (mean 5.1 mmHg) before surgery. Ultrasound biomicroscopy (UBM) revealed cyclodialysis associated with ciliary body detachment of 180 degrees to 360 degrees. We performed combined vitrectomy and cataract surgery, with pars plana cryopexy for detached ciliary body and an SF6 gas tamponade.Postoperative UBM showed that cyclodialysis and/or ciliary body detachment disappeared in the whole circumference of two eyes, while it partially remained at 15 degrees in one eye and at 30(degrees) in one eye. Postoperative visual acuity ranged from 0.06 to 1.2, with IOP ranging from 9.0 to 14.7 mmHg (mean 12.2 mmHg).Based on our results, we consider that the present combined therapy is highly reliable for closing and adhering traumatic cyclodialysis and normalizing hypotony.