Ciliary dissociation surgery

The violent effect of eyeball bruising can lead to the separation of the local ciliary body from the attachment of the sclera, a condition known as ciliary body dissociation. The aqueous humor enters the upper ciliary body through the ciliary body dissociation and causes the ciliary body to detach. The injured eye will have decreased vision, decreased or lost regulation, shallow anterior chamber, low intraocular pressure, retinal and optic nerve head edema, and posterior pole. Retinal streaks and so on. Because the ciliary body dissociation mouth has few chances of self-closing, the treatment of traumatic ciliary body detachment is mainly surgery. Treating diseases: glaucoma Indication Ciliary body dissociation surgery is suitable for traumatic ciliary body dissociation, ciliary body dissociation after glaucoma surgery. Contraindications Early eyeball atrophy, low intraocular pressure after endophthalmitis, low intraocular pressure after vitreous surgery. Preoperative preparation Repeated gonioscopic and UBM examinations before surgery revealed that the dissociation and fissure of the ciliary body is the key to establishing a diagnosis and determining the scope of the operation. Other preparations are routinely prepared before surgery with the inner eye. Surgical procedure Before choosing the incision, you should use the corner mirror to position the surgical clock position range and mark it. The conjunctival flap based on the dome is more likely to reveal the field of view. 5mm behind the limbus, the residual scleral flap of the scleral flap based on the limbus is about 1/5 to 1/4, and the limbus (marked by the deep black and white border) cuts through the deep sclera 11.5 mm, 10-0. The suture was sutured with the ciliary body tissue before and after the scleral incision. To prevent leakage from both ends of the suture, the sutures at both ends should be inclined to the limbus in the direction of the limbus. In order to enhance the adhesion of the ciliary body tissue and the sclera, a row of diathermy electrocoagulation or condensation can be performed along the trailing edge of the scleral incision. The superficial scleral flap is sutured continuously or indirectly. Conjunctival suture.