Maruyama Y, Yuuki T, Kimura Y, Kishi S, Shimizu K
Department of Ophthalmology, Gunma University School of Medicine, Maebashi, Japan.
Retina. 1997;17(1):7-11. doi: 10.1097/00006982-199701000-00002.
To evaluate the changes in the ciliary body and anterior choroid that occur after retinal detachment surgery.
Thirty-three eyes with rhegmatogenous retinal detachment were evaluated before and after surgery. An ultrasound biomicroscope was used to observe the ciliary body and anterior choroid.
Ciliary detachment was found to be present in 22 eyes (67%) on examination 5-14 days after surgery. The detachment was confined to the pars plana in nine eyes and involved the pars plicata and plana in 13 eyes. The whole circumference of the ciliary body was detached in seven of the 13 eyes. In three of these seven eyes, ophthalmoscopy showed the detachment to extend to the anterior choroid. Ciliary detachment lasted for at least 2 weeks and resolved within 2 months in 19 of 22 eyes. A shallow anterior chamber was observed after surgery in 12 eyes with severe ciliary detachment. Ciliary detachment was more likely to occur in eyes with a large retinal tear, large area of scleral buckling, or in eyes that were treated with solid silicone exoplant.
Ciliary detachment occurred frequently after retinal detachment surgery using scleral buckling. It was temporary and usually did not result in untoward complications.
评估视网膜脱离手术后睫状体和前部脉络膜的变化。
对33只孔源性视网膜脱离眼进行手术前后评估。使用超声生物显微镜观察睫状体和前部脉络膜。
术后5 - 14天检查发现22只眼（67%）存在睫状体脱离。9只眼的脱离局限于扁平部，13只眼累及皱襞部和平顶部。13只眼中有7只睫状体全周脱离。在这7只眼中，有3只眼的检眼镜检查显示脱离延伸至前部脉络膜。睫状体脱离至少持续2周，22只眼中有19只在2个月内消退。12只睫状体严重脱离的眼术后观察到前房变浅。睫状体脱离更易发生于视网膜裂孔大、巩膜扣带面积大的眼，或接受固体硅胶外植体治疗的眼。
巩膜扣带术治疗视网膜脱离后睫状体脱离频繁发生。它是暂时的，通常不会导致不良并发症。
