Clinical study of modified reposition surgery in the treatment of traumatic cyclodialysis / 国际眼科杂志(Guoji Yanke Zazhi)

ABSTRACT

@#AIM: To evaluate the therapeutical effects of modified reposition surgery in the treatment of traumatic cyclodialysis, and to explore a better surgical method for traumatic cyclodialysis. <p>METHODS: Totally 33 cases diagnosed of traumatic cyclodialysis were brought into observation. After accurately dialysis location of ciliary body through ultrasonic biological microscope, all cases received modified ciliary body reposition surgery. The period of follow-up was three to six months after surgery. The observation items included ciliary body status, intraocular pressure, visual acuity and complications and so on.<p>RESULTS:Among them, 30 cases were completely reposition during 1wk after surgery, 3 cases were found partial cyclodialysis, and then after half a month the three cases above got desirable outcome. Twenty cases were observed high intraocular pressure after surgery, 17 cases of which had high intraocular pressure returned to normal in 3d, 1 case of which had high intraocular pressure returned to normal in 1wk. 2 cases of which had high intraocular pressure were out of control through medicine, finally received anti-glaucoma surgery in 1 case, and the other one case underwent ciliary body laser photocoagulation and the high intraocular pressure was effectively controlled. Postoperative visual acuity was improved to some extent. There was no anterior segment ischemia or corneal macro astigmatism in all cases. <p>CONCLUSION:The modified reposition surgery in treating traumatic cyclodialysis is a simple, safe, effective, less iatrogenic injuries and fewer complications. It is worthy of clinical application.