Okamoto Yoko, Yamada Shogo, Akimoto Masayuki
Ophthalmology, Osaka Red Cross Hospital, 5-30 Fudegasakicho, Tennojiku, Osaka, 543-8555, Japan.
Int Ophthalmol. 2018 Feb;38(1):395-398. doi: 10.1007/s10792-017-0465-y. Epub 2017 Feb 7.
To report a case of subtotal iridodialysis that was repaired using suturing with the assistance of a guide needle.
A 52-year-old man had subtotal iridodialysis of approximately 300° with massive hyphema and vitreous hemorrhage after blunt trauma. The patient was treated with pars plana vitrectomy, and then suturing repair of iridodialysis was performed.
After the surgeries, the ratio of pupil area to corneal area is improved from 82.1 to 42.4%. The visual acuity improved to 30/20, and subjective symptoms of glare and monocular diplopia disappeared. There was no remarkable postoperative complication for up to 12 months.
Suturing repair is useful for subtotal iridodialysis and may be an alternative for an iris implant.
报告1例使用引导针辅助缝合修复虹膜大部根部断离的病例。
1名52岁男性在钝挫伤后出现约300°的虹膜大部根部断离，并伴有大量前房积血和玻璃体积血。该患者接受了玻璃体切割术，随后进行了虹膜根部断离的缝合修复。
手术后，瞳孔面积与角膜面积的比值从82.1%提高到42.4%。视力提高到30/20，眩光和单眼复视的主观症状消失。术后长达12个月无明显并发症。
缝合修复对虹膜大部根部断离有效，可能是虹膜植入术的一种替代方法。
