段文静，闫　丽，刘　菊，赵　娜，赵淼焱



睫状体脱离的病因分析

段文静，闫丽，刘菊，赵娜，赵淼焱

Department of Ophthalmology,Beijing Electric Power Hospital, Beijing 100073, China

Correspondence to:Wen-Jing Duan. Department of Ophthalmology, Beijing Electric Power Hospital, Beijing 100073, China. yoyo910@sina.com

Abstract

•AIM: To summarize and analyze the causes of ciliary body detachment, and to improve the therapeutic effect of symptomatic treatment.

•METHODS: The causes, symptomatic treatment and prognosis data of 22 patients with ciliary body detachment admitted to our hospital between Jan. 2012 and Jan. 2016 were analyzed retrospectively.

•RESULTS: The causes of 22 patients with ciliary body detachment included ones induced by traumatic detachment in 5 cases, Vogt-Koyanagi-Harada syndrome in 3 cases, retina after laser treatment in 6 cases, acute angle closure glaucoma after rapidly lowering intraocular pressure in 5 cases and acute angle closure glaucoma after YAG iris laser drilling in 3 cases. After symptomatic treatment, all patients were successfully reset, and the reduction rate was 100.00%. Thirty days after treatment, the average intraocular pressure and anterior chamber depth were significantly higher than those before treatment (P<0.05). After treatment, the proportion of patients whose visual acuity recovered to >0.5-0.8 was 73%. Compared with that before treatment, the difference was statistically significant (P<0.05).

•CONCLUSION: To understand the causes of ciliary body detachment can guide clinical examination and selection of treatment. It also can improve the reduction rate of ciliary body, promote the improvement of visual acuity, and avoid unnecessary trouble at the same time.

目的：分析睫状体脱离的病因，以提高治疗效果。

方法：对本院2012-01/2016-01睫状体脱离患者22例22眼的病因、对症治疗及预后资料进行回顾性分析。

结果：睫状体脱离患者病因：外伤性脱离5眼，小柳-原田综合征3眼，视网膜激光治疗后6眼，急性闭角青光眼快速降眼压后5眼，急性期闭角型青光眼YAG虹膜激光打孔后3眼。经对症治疗后均成功复位，复位率100%；治疗后30d患者平均眼压水平、前房深度较治疗前均明显上升，差异有统计学意义(P<0.05)；治疗后视力恢复到>0.5～0.8者16眼(73%)，与治疗前比较差异有统计学意义(P<0.05)。

结论：了解睫状体脱离病因可以指导临床检查、治疗选择，以提高睫状体复位率，促进患者视力改善。

睫状体脱离；病因；对症治疗；预后

引用：段文静，闫丽，刘菊，等.睫状体脱离的病因分析.国际眼科杂志2016;16(9):1756-1758

0引言

睫状体脱离作为眼科一种常见病症，其发病原因多，眼外伤、急性闭角型青光眼等均可导致，且不同病因的治疗方案存在较大的差异，预后也可能不同[1-2]。由于睫状体脱离早期症状多样，常规超声、房角镜检查特异度低，早期易误诊或漏诊，延误病情，加重视功能损害，最终导致患者失明。为此早期诊断出睫状体脱离，了解其病因对疾病的及时治疗、预后改善具有十分重要的意义。因此，本研究回顾性分析2012-01/2016-01收治的22例22眼睫状体脱离患者相关资料，总结睫状体脱落原因，并分析病因与对症治疗效果关系，为睫状体脱离治疗提供重要依据，现报告如下。……