原发性孔源性视网膜脱离术前单纯睫状体脱离发生率及其影响因素和预后.docVIP

原发性孔源性视网膜脱离术前单纯睫状体脱离发生率及其影响因素和预后 桂君民1，刘磊2，贾立2（1重庆爱尔麦格眼科医院，重庆400060；2重庆爱尔眼科医院，重庆400020） 作者简介：桂君民（1966-），男，江西省鹰潭市人，副主任医师，主要从事玻璃体视网膜疾病的研究。电话：（023 junmingui@163.com 提要：目的 了解原发性孔源性视网膜脱离术前单纯睫状体脱离的发生率并分析其可能的影响因素。方法 对连续收治的43例原发性孔源性视网膜脱离患者进行回顾分析， 根据UBM检查结果分为有睫状体脱离组和无睫状体脱离组。术后随访3~6月。结果 原发性孔源性视网膜脱离患者术前单纯睫状体脱离发生率为25.6%(11/43只眼)。 睫状体脱离组术前平均眼压为9.41±4.37 mmHg, 无睫状体脱离组平均眼压11.67±4.20 mmHg，两组之间统计无显著差异(P0.05)。术前视力、术前眼压、视网膜脱离时间、视网膜脱离范围以及视网膜裂孔大小对睫状体脱离发生率没有明显影响。有睫状体脱离组一次性视网膜脱离解剖复位率为90.9%，无睫状体脱离组为90.6%，二组之间无明显统计学差别。结论 原发性孔源性视网膜脱离术前约有四方之一的患者合并有单纯的睫状体脱离。这种睫状体脱离和眼压、年龄、视网膜脱离时间、术前视力、视网膜脱离范围以及视网膜裂孔大小没有明显关系，有无睫状体脱离并不影响视网膜脱离的解剖复位成功率。 关键词: 视网膜脱离；睫状体脱离； Incidence of ciliary body detachment and its influencing factors in Primary rhegmatogenous retinal detachment without choroidal detachment GUI Jun-min, LIU Lei, JIA Li(Chongqing Aier-Mega Eye Hospital, Chongqing 400060, China) Abstract: Objective To observe the preoperative incidence of ciliary body detachment and analyze its influencing factors in primary rhegmatogenous retinal detachment (RRD) without choroidal detachment. Methods 43 consecutive patients were recruited between April to August, 2010. All the patients underwent ultrasound biomicroscope (UBM) examination and their clinical data were analyzed. Results The incidence of ciliary body detachment is 25.6%. There was no significant difference in the mean intraocular pressure between the ciliary detached group (9.41?.37 mmHg) and those without ciliary detachment (11.67?.20 mmHg ). The Sex, age, intraocular pressure, initial visual acuity, the duration of retinal detachment, the extent of retinal detachment and size of retinal holes were not associated with the incidence of the ciliary detachment. One operation reattachment rate was 90.9% in ciliary body detached group, and 90.6% in non-ciliary body detached group. Conclusion About one quarter of primary RRD patients have ciliary body detachment. Whether there is a ciliary body detachment or not does not affect the surgical outco