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前房角睫状体解离即低眼压综合症是继发于眼球钝伤或手术后。临床表现为低眼压,浅前房,前节色素膜炎,视乳头水肿,黄斑部视网膜水肿,后极部脉络膜皱褶,晶体混浊等,严重影响视力。除了极少数病情轻者,经过长期药物治疗,可以治愈外,绝大部分病例必须采用手术治疗,其中睫状体部巩膜表面透热或冷冻等,疗效较差;直接把前房角部睫状体或虹膜根部缝合在巩膜突上,或睫状体部巩膜表面压陷或巩膜层间填塞术,效果较好。但这些手术方法均较复杂,且有产生角膜散光,损伤晶体等并发症。近年来采用激光光凝使前房角睫状体解离再粘连,疗效较满意。现把我们治疗的两例介绍如下。
Anterior chamber angle ciliary body dissociation, that is, hypotension syndrome is secondary to eyeball injury or surgery. Clinical manifestations of low intraocular pressure, shallow anterior chamber, anterior segment pigmentitis, papilledema, macular retinal edema, posterior pole choroid folds, crystal opacity, seriously affecting vision. In addition to a very small number of mild cases, after long-term medical treatment, can be cured, the vast majority of cases must be treated surgically, in which ciliary body surface scleral heat or frozen, poor efficacy; directly to the anterior chamber angle ciliary Body or iris sutured in the scleral protrusion, or ciliary body surface scleral buckling or scleral buckling, the effect is better. However, these surgical methods are more complicated, and have corneal astigmatism, damage to the crystal and other complications. In recent years, laser photocoagulation to the anterior chamber angle ciliary body dissociation and re adhesion, the effect is more satisfactory. Now we treat the two cases are as follows.