孔源性视网膜脱离合并睫状体脱离的发生率及其影响因素研究

发布时间：2018-07-16 08:08

【摘要】：目的对原发性孔源性视网膜脱离合并睫状体脱离的发生率及其可能的影响因素进行初步研究。方法对连续收治的43例(43眼)原发性孔源性视网膜脱离患者临床资料进行回顾性分析,根据超声生物显微镜(ultrasound biomicroscopy,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个月,比较2组术前睫状体脱离发生率并分析其影响因素以及睫状体脱离对视网膜脱离手术复位成功率的影响等。结果原发性孔源性视网膜脱离患者中睫状体脱离发生率为25.6%(11/43)。睫状体脱离组年龄[(52.9±13.6)岁]大于无睫状体脱离组[(47.1±18.7)岁],差异有统计学意义(P0.05)。术前视力、眼压、视网膜脱离时间、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(P0.05)。有睫状体脱离组一次性视网膜脱离手术复位率为90.9%,无睫状体脱离组为90.6%,差异无统计学意义(P0.05)。结论原发性孔源性视网膜脱离组约有1/4的患者合并有睫状体脱离。术前视力、眼压、视网膜脱离时间、脱离范围以及视网膜裂孔大小和睫状体脱离没有明显关系,有无睫状体脱离并不影响视网膜脱离的初次手术复位成功率。
[Abstract]:Objective to study the incidence of primary rhegmatogenous retinal detachment with ciliary detachment and its possible influencing factors. Methods the clinical data of 43 cases (43 eyes) with primary rhegmatogenous retinal detachment were retrospectively analyzed, and the results were based on the ultrasound biomicroscopy (UBM) examination. The ciliary body detachment group and the non ciliary body detachment group were followed up for 3~6 months after operation. The incidence of ciliary body detachment in the 2 groups was compared and the influence factors were analyzed and the effect of ciliary body detachment on the success rate of retinal detachment surgery. Results the incidence of ciliary body detachment in the patients with primary rhegmatogenous retinal detachment was 25.6% (11/43). The age of ciliary body detachment Group [(52.9 + 13.6) years old] was greater than that of non ciliary body detachment Group [(47.1 + 18.7) years of age], the difference was statistically significant (P0.05). There was no obvious effect of visual acuity, intraocular pressure, retinal detachment time, detachment range and retinal hole size on the incidence of ciliary body detachment (P0.05). The operative reduction rate was 90.9% and the non ciliary body detachment group was 90.6%, the difference was not statistically significant (P0.05). Conclusion the patients with 1/4 in the primary rhegmatogenous retinal detachment group had ciliary body detachment. There was no obvious relationship between the preoperative vision, intraocular pressure, retinal detachment, the distance of detachment and the size of retinal hole and ciliary body detachment. Detachment of the body does not affect the success rate of initial surgical reduction for retinal detachment.
【作者单位】：重庆爱尔麦格眼科医院;重庆爱尔眼科医院;
【分类号】：R779.6

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