Demeler U
Eye Department, University of Bremen, W. Germany.
Eye (Lond). 1988;2 ( Pt 1):77-9. doi: 10.1038/eye.1988.16.
Over the last 5 years, at the Eye Department in Bremen, 13 eyes with persistent hypotony have been treated by a refixation of the detached ciliary body, the so-called 'direct cyclopexy'. Ten eyes became hypotonous because of a traumatic cyclodialysis and 3 eyes as a result of an antiglaucomatous cyclodialysis surgery. The duration of the hypotony was from 10 days to 3 months, and the various cyclodialyses extended from 30 to 120 degrees. The postoperative follow-up was from 6 months to 5 years. The intraocular pressure was stabilised in all 10 eyes with traumatic cyclodialysis. In the 3 eyes with postoperative cyclodialysis all needed further antiglaucomatous procedures because of high intraocular pressure. In all 13 eyes the typical signs of hypotony disappeared postoperatively and visual improvement was achieved. The surgical procedure is discussed.
在过去5年中，不来梅眼科对13只持续性低眼压的眼睛采用了分离睫状体重新固定术进行治疗，即所谓的“直接睫状体固定术”。10只眼睛因外伤性睫状体分离而出现低眼压，3只眼睛因抗青光眼睫状体分离手术导致低眼压。低眼压持续时间为10天至3个月，各种睫状体分离范围为30至120度。术后随访时间为6个月至5年。所有10只外伤性睫状体分离的眼睛眼压均稳定。3只术后睫状体分离的眼睛因眼压高均需要进一步的抗青光眼手术。所有13只眼睛术后低眼压的典型体征消失，视力得到改善。文中讨论了手术方法。
