CAJ | 학술논문

目的探讨挫伤导致虹膜根部断离的成因、手术时机和显微修复方法。方法 23例(23眼)因为眼部挫伤导致部分虹膜根部断离，于伤后7～18d接受了显微镜下修复手术，手术中使用粘弹剂和其它辅助器械。结果所有伤眼虹膜根部断离复位，瞳孔近似圆形，复视消失。随访中1眼因为高眼压而接受了小梁切除手术。结论挫伤所致虹膜根部断离在伤后适时进行显微修复术，术中辅以粘弹剂和必要的器械，有助于手术顺利完成，取得较好的临床效果。
목적 탐토좌상도치홍막근부단리적성인、수술시궤화현미수복방법。방법 23례(23안)인위안부좌상도치부분홍막근부단리，우상후7～18d접수료현미경하수복수술，수술중사용점탄제화기타보조기계。결과 소유상안홍막근부단리복위，동공근사원형，복시소실。수방중1안인위고안압이접수료소량절제수술。결론 좌상소치홍막근부단리재상후괄시진행현미수복술，술중보이점탄제화필요적기계，유조우수술순리완성，취득교호적림상효과。
Objective To investigate the causes, operation time, and microscopic repairing procedures of contusive iridodialysis. Methods 23cases(23 eyes) who had partial iridodialysis due to contusions of the eyeballs underwent the microscopic repair during 7 to 18 days after injury. Viscoelastic agent and other auxiliary devices were used in the operation. Results All eyes were fully corrected with approximate round-shaped pupils and their visual function improved. 1 eye with raised intraocular pressure was performed with trabeculectomy. Conclusion Timely repair of partial iridodialysis performed under microscope was safe and effective.