目的:探讨眼球钝挫伤致睫状体脱离的原因、临床表现、治疗方法及预后。方法:回顾性分析23例23眼眼球钝挫伤睫状体脱离的病因、病情、治疗经过、结果及随访记录,对其进行分析和总结。结果:物体撞击伤是引起睫状体脱离的最主要原因,其次分别为拳击伤、爆炸伤。其中15眼损伤眼前节,另外8例合并眼后段病变。经药物或手术治疗后,初诊时最佳矫正视力≤0.1者14例(60.9%),末次随访时最佳矫正视力>0.5者16例(69.6%),UBM检查21例睫状体脱离复位,21例眼压恢复正常。结论:结合UBM,通过及时和有效的治疗,大部分眼钝挫伤致睫状体脱离患者的视力有所提高,睫状体复位,眼后段病变者视力预后差。

AIM:To investigate the causes,clinical manifestations,treatment,prognosis of ocular contusion with ciliary detachment.METHODS:Twenty-three cases(23 eyes) of ocular contusion with ciliary detachment were retrospectively studied and the causes,clinical manifestations,therapeutic procedual,prognosis and follow-up records were analysed.RESULTS:Impacting with objects was the most common reason for ocular contusion with ciliary detachment which was followed by trauma by the fist and blast.15 eyes were damaged only in anterior segment,the other 8 eyes were injured in both anterior and posterior segment.Before treatment,best corrected visual acuity(BCVA) of 14 eyes was less than 0.1,accounting for 60.9%.However,the visual acuity of 16 eyes(69.6%) acquired BCVA of 0.5 or better after treatment by medicine or surgery.UBM scan displayed that ciliary detachment disappeared in 21 eyes,IOP remained normal in 21 eyes.CONCLUSION:Integrating UBM,by effective and timely treatment,visual acuity can improve and ciliary detachment disappear in most contused eyes.The visual acuity prognosis is usually poor when the posterior segment complications happen after contusion.

R779.6