Kamei Chinatsu, Kato Tomoko, Tsukamoto Hidetoshi, Mishima Hiromu K
Department of Ophthalmology and Visual Science, Graduate School of Biomedical Sciences, Hiroshima University, Japan.
Hiroshima J Med Sci. 2002 Sep;51(3):81-4.
We report a case of persistent traumatic cyclodialysis treated by goniophotocoagulation and observed by ultrasound biomicroscopy (UBM) throughout the course. A 16 year-old male was struck in his right eye by a rocket firework. After the injury, hypotony continued for 4 months and he was referred to Hiroshima University Hospital. At that time, the best visual acuity in his right eye was 0.2 and the intraocular pressure was 6 mmHg. Three hundred and sixty degrees of cyclodialysis, partial peripheral anterior synechia, hypotony maculopathy and subretinal proliferative tissue were observed. Cyclodialysis was obvious by UBM. From 4 months after the injury goniophotocoagulation was performed six times in 2 months. Intraocular pressure recovered 6 months after the injury and reattachment of cyclodialysis and disappearance of the suprachoroidal space were confirmed by UBM. UBM was useful in observing cyclodialysis throughout the course.
我们报告一例通过房角光凝治疗的持续性外伤性睫状体脱离病例，并在整个病程中通过超声生物显微镜（UBM）进行观察。一名16岁男性右眼被火箭烟花击中。受伤后，低眼压持续了4个月，随后他被转诊至广岛大学医院。当时，其右眼最佳视力为0.2，眼压为6 mmHg。观察到360度睫状体脱离、部分周边前粘连、低眼压性黄斑病变和视网膜下增殖组织。通过UBM可明显观察到睫状体脱离。受伤后4个月起，在2个月内进行了6次房角光凝。受伤后6个月眼压恢复，通过UBM证实睫状体脱离重新附着且脉络膜上腔消失。UBM在观察整个病程中的睫状体脱离方面很有用。
