外傷性毛様体解離に対する解離部直接縫合法

Surgical treatment for traumatic cyclodialysis with hypotony. A casc report

　外傷性毛様体解離によって低眼圧症を起こした症例に対し，冷凍凝固，ジアテルミー凝固，アルゴンレーザー光凝固による治療を試みたが，症状の改善を得られなかったため，最終的に強膜毛様体縫合術を行い治癒せしめた。この術式は直接機械的に閉鎖を図る事ができるため，保存的治療または他の外科的治療が無効な場合，試みられてよいと考えられた。

A case of persistent hypotony following traumatic cyclodialysis is reported. To normalize the intrao-cular pressure, cyclocryothermy, diathermy, and argonlaser photocoagulation of the cleft were per-formed in turn, none of which however, could in-crease the pressure. Finally we obtained closure of the cleft by means of sutures of the ciliary body to the scleral spur beneath the scleral flap and surface diathermy with resultant restoration of the intra-ocular pressure and visual acuity. This method is simpler than Mackensen's procedure and equally effective for the hypotony syndrome.