Xu Cen-Bo, Huang Gong-Yu, Pan Qin-Tuo, Li Yong-Jian, Xu Bo-Lun, Wu Qi, Zhang Zong-Duan
Eye Hospital and School of Ophthalmology and Optometry, Wenzhou Medical University, Wenzhou, China; and.
The Quzhou Affiliated Hospital of Wenzhou Medical University, Quzhou People's Hospital, Quzhou, China.
Retina. 2025 May 1;45(5):1006-1011. doi: 10.1097/IAE.0000000000004212.
The traditional suturing method for cyclodialysis cleft usually requires an incision in the sclera for direct suturing, resulting in greater damage and a high risk of postoperative complications. The purpose of this work was to propose a newly intrascleral double continuous suture repair technique for the treatment of cyclodialysis clefts.
Seven patients with cyclodialysis cleft underwent microinvasive intrascleral double continuous suture repair surgery to restore the attachment of the detached ciliary body to the sclera without scleral incision. All operations were performed by the same surgeon. Preoperative and postoperative visual acuity, intraocular pressure, slit-lamp and corneal examination results, ultrasound biomicroscopy, and optical coherence tomography results were recorded.
Closure of the cyclodialysis cleft was achieved in seven eyes, and no obvious complications occurred after the operation. Intraocular pressure increased from preoperatively 6.8 ± 1.35 mmHg (range: 4.8-8.0 mmHg) to postoperatively 12.5 ± 4.0 mmHg (range: 8.0-20.0 mmHg) (paired-sample t -test, P < 0.01). Best-corrected Snellen visual acuity improved from preoperatively range 20/2000 to 20/63 to range 20/200 to 20/25 at the final follow-up.
In short, intrascleral double continuous suture repair surgical is safe and effective in treating cyclodialysis cleft, with minimal surgical trauma.
传统的睫状体分离裂隙缝合方法通常需要在巩膜上切口进行直接缝合，导致损伤较大且术后并发症风险高。本研究旨在提出一种新的巩膜内双连续缝合修复技术来治疗睫状体分离裂隙。
7例睫状体分离裂隙患者接受了微创巩膜内双连续缝合修复手术，以恢复脱离的睫状体与巩膜的附着，无需巩膜切口。所有手术均由同一位外科医生进行。记录术前和术后的视力、眼压、裂隙灯和角膜检查结果、超声生物显微镜检查及光学相干断层扫描结果。
7只眼的睫状体分离裂隙均成功闭合，术后未发生明显并发症。眼压从术前的6.8±1.35 mmHg（范围：4.8 - 8.0 mmHg）升至术后的12.5±4.0 mmHg（范围：8.0 - 20.0 mmHg）（配对样本t检验，P < 0.01）。最佳矫正视力从术前的20/2000至20/63提高到末次随访时的20/200至20/25。
简而言之，巩膜内双连续缝合修复手术治疗睫状体分离裂隙安全有效，手术创伤极小。
