Iijima Y, Wagai K, Matsuura Y, Ueda M, Miyazaki I
Department of Ophthalmology, Social Insurance Funabashi Chuo Hospital, Japan.
Am J Ophthalmol. 1989 Oct 15;108(4):349-55. doi: 10.1016/s0002-9394(14)73299-4.
We studied four eyes with retinal detachment accompanied by a break in the nonpigmented epithelium in the pars plicata of the ciliary body in three patients with atopic dermatitis. Each eye had either ectopia lentis or coloboma of the lens. In the region of the lens malformation, ciliary processes were hypoplastic. These rudimentary ciliary processes were observed only in the anterior half of the pars plicata. At their posterior end, the ciliary nonpigmented epithelium had been ruptured and a break by zonular traction was apparent. In the other region of the pars plicata, ciliary processes were normal and no break was detected. The break in the pars plicata was treated by diathermy application and segmental scleral buckling, without subretinal fluid drainage, and with the resulting reattachment of the retina. Hypoplasia of ciliary processes is basically responsible for the development of a break in the pars plicata.
我们研究了3例特应性皮炎患者的4只眼睛，这些眼睛均伴有视网膜脱离，并伴有睫状体褶部无色素上皮破裂。每只眼睛都有晶状体异位或晶状体缺损。在晶状体畸形区域，睫状突发育不全。这些发育不全的睫状突仅在睫状体褶部的前半部分观察到。在其后端，睫状无色素上皮已经破裂，并且由于悬韧带牵引而出现断裂。在睫状体褶部的其他区域，睫状突正常，未检测到破裂。通过透热疗法和节段性巩膜扣带术治疗睫状体褶部的破裂，不进行视网膜下液引流，从而使视网膜重新附着。睫状突发育不全基本上是睫状体褶部破裂发生的原因。
