Mardelli Pierre G
Glaucoma Service, Eye and Ear Hospital, and Department of Ophthalmology, Hotel Dieu de France, Saint Joseph University, Beirut, Lebanon.
Am J Ophthalmol. 2006 Oct;142(4):676-8. doi: 10.1016/j.ajo.2006.05.027.
To evaluate a technique for ab-interno repair of cyclodialysis cleft in conjunction with placement of an intraocular lens (IOL).
Interventional case reports.
setting: Clinical practice. patients: Two eyes of two patients, one phakic and one aphakic, present with hypotony secondary to traumatic cyclodialysis cleft. intervention: A single piece all-polymethyl methacrylate intraocular lens (PMMA IOL) 13.5 mm in diameter was placed in the ciliary sulcus with the haptics placed in the area of cyclodialysis cleft during cataract surgery and secondary placement of IOL. main outcome measures: Intraocular pressure (IOP).
Hypotony resolved in both patients on the first postoperative day and the IOP was maintained above 10 mm Hg for more then 36 months postoperatively.
In the setting of hypotony from a traumatic cyclodialysis cleft, the haptics of an IOL can be used as an internal cerclage during cataract or secondary IOL surgery to effectively close the cleft by direct apposition of the ciliary body to the overlying sclera.
评估一种联合植入人工晶状体（IOL）进行睫状体分离裂隙内路修复的技术。
介入性病例报告。
背景：临床实践。患者：两名患者的两只眼睛，一只为有晶状体眼，一只为无晶状体眼，因外伤性睫状体分离裂隙导致低眼压。干预：在白内障手术及二期人工晶状体植入术中，将直径13.5毫米的单片式全聚甲基丙烯酸甲酯人工晶状体（PMMA IOL）置于睫状沟，其袢置于睫状体分离裂隙区域。主要观察指标：眼压（IOP）。
两名患者术后第一天低眼压均得到缓解，术后眼压维持在10毫米汞柱以上超过36个月。
在外伤性睫状体分离裂隙导致低眼压时，人工晶状体的袢可在白内障或二期人工晶状体手术中用作内扎带，通过使睫状体直接贴附于上方巩膜来有效闭合裂隙。
