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目的 :探讨联合手术治疗虹膜根部断离 (iridodialysis)的疗效。方法 :2 5只眼患者在虹膜根部断离复位术中同时联合囊外白内障摘除及人工晶状体植入术 11只眼 ;联合晶状体玻璃体切割术 11只眼 ;联合玻璃体切割术 2只眼 ;联合睫状体复位术 1只眼。结果 :联合术后视力提高者 2 2只眼 ,视力不变者 2只眼 ;术前继发青光眼 9只眼 ,术后眼压控制者 7只眼 ,经二次抗青光眼手术后眼压控制者 2只眼。虹膜根部断离均复位满意。结论 :联合手术治疗虹膜根部断离不仅使患者尽早解除单眼复视 ,改善外观 ,而且使大部分患者只通过一次手术达到了脱残的目的 ,帮助患者恢复双眼立体视功能
Objective: To investigate the efficacy of combined surgery in the treatment of iridodialysis. Methods: Twenty-five eyes of 11 eyes underwent combined cataract extraction and intraocular lens implantation in the treatment of iris root disconnection and resection. Eleven eyes were treated with vitrectomy combined with vitrectomy and two eyes combined with vitrectomy Body resection of 1 eye. Results: The combined visual acuity in 22 eyes, eyes with unchanged vision in 2 eyes; Preoperative secondary glaucoma in 9 eyes, postoperative IOP control in 7 eyes, after secondary anti-glaucoma surgery intraocular pressure control 2 eyes. Iris rupture off the root were reset satisfaction. Conclusion: The combined surgical treatment of iris root rupture not only allows the patient to relieve monocular diplopia as soon as possible, improve the appearance, but also make most patients achieve the purpose of disability by only one operation to help patients to restore binocular stereopsis