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[Zhonghua yan ke za zhi] Chinese journal of ophthalmology · 1999

[A study on ocular anterior segment structure after scleral buckling surgery for retinal detachment].

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Wei W, Yang W, Chen Z, Zhu X, Wang J

Аннотация

OBJECTIVE: To study the changes of the ocular anterior segment structure and the mechanism of angle-closure glaucoma after scleral buckling surgery.

METHOD: 30 patients (33 eyes) who suffered from rhegmatogenous retinal detachment had been observed before and 3 - 7 days after the surgery. The quantitative measurement of the ocular anterior segment structure in vivo had been done by ultrasound biomicroscopy (UBM). The results were statistically analyzed.

RESULTS: There was one eye with split-like ciliary body detachment before the surgery, there were 11 eyes with ciliary body detachment (33.3%) and the ciliary body was thickened and edematous after surgery. Before the surgery the thickness of the ciliary body was (821.32 +/- 64.21) microm and after the surgery it was (945.27 +/- 104.16) microm, the difference being statistically significant, P < 0.05. Parameters reflecting the changes of the anterior chamber angle before and after surgery were as follows: the anterior chamber angle became narrower, the angle open distance 500 decreased, the trabecular-iris angle decreased in degree, the angle of the scleral lateral side and iris long axis decreased, and all these differences were statistically significant, P < 0.05, but the depth of the central anterior chamber had no obvious change, and the difference was not statistically significant, P > 0.05.

CONCLUSIONS: Ciliary body detachment and edema are often found after scleral buckling surgery, and post-operatively the central anterior chamber depth has no obvious change; ciliary body detachment and edema perhaps are related to the angle-closure glaucoma after the surgery.

Предметные рубрики MeSH

ИП Урсолов Владлен Сергеевич

ИНН 500118482352 · ОГРНИП 314500117700049

Реквизиты и контакты