超声乳化白内障吸除联合 Cionni 环植入术治疗外伤性睫状体脱离的新方法

Novel technique for traumatic cyclodialysis repair with phacoemulsification and Cionni's ring implantation.

机构信息

Department of Retina, Uvea Services, Sadguru Netra Chikitsalaya, Chitrakoot, Madhya Pradesh, India.

Cataract and IOL Services, Sadguru Netra Chikitsalaya, Chitrakoot, Madhya Pradesh, India.

出版信息

Indian J Ophthalmol. 2019 Oct;67(10):1748-1750. doi: 10.4103/ijo.IJO_394_19.

DOI:10.4103/ijo.IJO_394_19

PMID:31546552

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6786165/

Abstract

A 17-years-old boy presented with cataract, 360° choroidal effusion and disc oedema secondary to chronic hypotony. Gonioscopy and AS-OCT revealed 2 clock hours of cyclodialysis in the superonasal quadrant. The case was successively managed with phacoemulsification with foldable IOL in the bag and Cionni's ring sutured in the superonasal quadrant. Post surgery, the BCVA improved from counting finger 1 meter to 20/40. IOP returned to normal and there was resolution of choroidal effusion and fundus signs. The case highlights the use of Cionni's ring in management of small cyclodialysis cleft by providing internal compression.

摘要

一位 17 岁男孩因慢性低眼压继发白内障、360°脉络膜膨出和视盘水肿就诊。房角镜和 AS-OCT 检查发现，在上方鼻侧象限有 2 个时钟小时的睫状体分离。该病例先后采用囊外白内障摘除联合折叠式人工晶状体植入术，并在上方鼻侧象限缝合 Cionni 环进行治疗。术后，最佳矫正视力从数指 1 米提高到 20/40。眼压恢复正常，脉络膜膨出和眼底征象消退。该病例突出了 Cionni 环在治疗小的睫状体分离裂的作用，通过提供内部压缩。