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纸质出版:2011
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李灿,陈康,王一,陈少军.采用闭合式单针法修复21例大范围虹膜根部离断的疗效分析[J].陆军军医大学学报(原第三军医大学学报),2011,33(14):1538-1540.
Li Can,Chen Kang,Wang Yi,Chen Shaojun.Single needle iridoplasty in close anterior chamber for extensive iridodialysis in serious ocular trauma[J].J Amry Med Univ (J Third Mil Med Univ),2011,33(14):1538-1540.
李灿,陈康,王一,陈少军.采用闭合式单针法修复21例大范围虹膜根部离断的疗效分析[J].陆军军医大学学报(原第三军医大学学报),2011,33(14):1538-1540. DOI:
Li Can,Chen Kang,Wang Yi,Chen Shaojun.Single needle iridoplasty in close anterior chamber for extensive iridodialysis in serious ocular trauma[J].J Amry Med Univ (J Third Mil Med Univ),2011,33(14):1538-1540. DOI:
目的 探讨严重钝性眼外伤行前后节联合手术时对大范围虹膜根部离断修复简便有效方法。 方法 对≥90°虹膜根部离断严重钝性眼外伤21例21眼,在联合行玻璃体切割术前行闭合式单针虹膜根部离断修复术,先切除脱入前房内的玻璃体,用粘弹剂将卷曲虹膜回复至原位,将预先穿入10-0尼龙线1 ml注射器针头自角膜缘1 mm 切口进针,将离断虹膜缝合至相应部位板层巩膜瓣下。如伴有睫状体离断者同时缝合离断的睫状体(6例);再行晶体切除及玻璃体切除术。 结果 21眼虹膜均复位,瞳孔呈圆形或近圆形。瞳孔直径4~8 mm。大部分患眼视力均不同程度提高,其中15眼最佳矫正视力≥0.1。眼压:7.0~28.0(14.0±8.7)mmHg。4眼继发性青光眼,药物控制。 结论 对伴大范围虹膜根部离断严重眼外伤前后节联合手术中,应用闭合式虹膜根部离断修复术,损伤小,操作简便,效果良好。
Objective To explore a simple and effective iridoplasty approach for extensive iridodialy-sis in serious ocular trauma during combining anterior and posterior segment operation. Methods Twenty-one patients (21 eyes) with ≥90° iridodialysis were enforced single needle repairment in close anterior chamber before vitrectomy. Firstly vitreous body in anterior chamber was removed
then iris was recovered to the original position by viscoelastic fluid
1 ml needle within 0/10 nylon suture came into anterior chamber from 1 mm to limbus corneae and then out from opposite scleral flap corresponding to injured iris. In the condition of 6 patents with ciliary body detachment
their ciliary body were sutured in the same time
after it with lensectomy and vitrectomy. Results All 21 iris were reposition
with the pupil in round or like-round shape and its diameter from 4 to 8 mm. After operation
vision acuity was improved to some degree. Fifteen cases han their best corrected visual acuity (BCVA) were better than 0.1. Their intraocular pressure ranged from 7.0 to 28.0 mmHg(mean 14.0±8.7 mmHg). Conclusion Close iridoplasty is a simple and effective operation with little damage
for massive iridodialysis in serious ocular trauma during combining anterior and posterior segment operation.
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