To evaluate the efficacy and safety of placing dual capsular tension rings for the combined management of traumatic cyclodialysis cleft and zonular dialysis. A modified capsular tension ring was inserted into the ciliary sulcus and a capsular tension ring or modified capsular tension ring was inserted into the capsular bag in 20 eyes in 20 consecutive patients showing signs of ocular hypotony and ectopia lentis. Outcome measures included intraocular pressure, best-corrected visual acuity, and postoperative complications. Dual capsular tension ring placement was performed in 20 patients with a mean age of 48.7 years. The cyclodialysis cleft extended over 2.9 clock hours (range 0.5–6.5). The modified capsular tension ring was successfully inserted into the ciliary sulcus and a capsular tension ring or modified capsular tension ring in the capsular bag in all eyes. At the last follow-up, the cyclodialysis cleft was closed in 16/20 (80.0%) eyes. The intraocular lens was stable in all patients postoperatively. Best-corrected visual acuity, in terms of the logarithm of the minimal angle of resolution, improved from 1.3 ± 0.8 before surgery to 0.4 ± 0.3 after surgery (P < 0.001). Intraocular pressure increased significantly from 10.6 ± 3.2 mmHg before surgery to 13.0 ± 4.8 mmHg after surgery (P = 0.040). Postoperative complications included a painful reversible intraocular pressure spike in four patients (20.0%). Logistic regression revealed no significant factors associated with successful cleft closure and a stable final intraocular pressure of ≥ 10 mmHg. The placement of two capsular tension rings into the ciliary sulcus and the capsular bag is a safe, successful procedure combined for repairing a traumatic cyclodialysis cleft and managing zonular dialysis.

中文翻译：

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放置双囊张力环以联合处理创伤性血液透析裂隙和小带透析

评估放置双囊张力环的联合治疗创伤性血液透析裂隙和小带透析的疗效和安全性。在20眼连续出现眼部低渗和眼外翻迹象的患者中，在20只眼中，将改良的囊袋张力环插入到睫状沟中，并将囊膜张力环或改良的囊袋张力环插入到囊袋中。结果指标包括眼内压，最佳矫正视力和术后并发症。平均年龄为48.7岁的20例患者进行了双囊张力环置入。环透析裂隙延长了2.9个时钟小时（范围为0.5-6.5）。将改良的囊张力环成功地插入到睫状沟中，并在所有的眼睛中将囊张力环或囊袋中的改良囊张力环插入。在最后一次随访中，以16/20（80.0％）的眼部闭合了环透析裂隙。术后所有患者的人工晶状体均稳定。最佳矫正视力（以最小分辨角的对数表示）从手术前的1.3±0.8提高到手术后的0.4±0.3（P <0.001）。眼内压从手术前的10.6±3.2 mmHg显着增加到手术后的13.0±4.8 mmHg（P = 0.040）。术后并发症包括四名患者（20.0％）的可逆性眼压升高。Logistic回归显示没有成功裂隙闭合和≥10 mmHg稳定的最终眼内压相关的重要因素。将两个囊性张力环放入睫状沟和囊袋中是一种安全，成功的程序，可用于修复创伤性环透析裂隙和控制小带透析。