摘要
目的探讨保留眼球的全结膜瓣遮盖术后佩戴薄壳义眼治疗轻、中度眼球萎缩的临床效果。方法对30例(30只眼)轻、中度眼球萎缩且眼内无活动病变的患者行角膜板层切除联合全结膜瓣遮盖术,术毕透明义眼片支撑结膜囊,术后2—3周佩戴薄壳义眼。结果随访2~4个月,平均(2.7±0.8)个月。全部病例无结膜回退或感染等并发症发生。佩戴薄壳义眼有一定活动度,外观改善较好。结论对轻、中度眼球萎缩且眼内无活动性病变的患者,行角膜板层切除联合全结膜瓣遮盖术后佩戴薄壳义眼,可获良好的仿真效果。
Objective To study the clinical effects of wearing thin-walled ocular prosthesis after conjunetival flap covering surgery in treatment of atrophy of eyeball. Methods 30 patients (30 atrophied eyes) were accepted the lamellar keratectomy combined with eonjunetival flap covering surgery. A temporary ocular conformer was inserted at the completion of the procedure and was worn until the patients received a thin-walled ocular prosthesis 2 to 3 weeks after surgery. Results No complications such as conjunctival fallbaek or infection oecured in the follow-up of 2 to 4 months. 30 patients worn thin-walled ocular prosthe- sis, they were satisfied with the cosmetic effect. Conclusion The thin-walled ocular prosthesis can provide good cosmetic effect, so it is appropriate for the atrophied eyes which were taken lamellar keractectomy and conjunctival flap covering surgery.
出处
《中华眼外伤职业眼病杂志》
2013年第10期767-768,共2页
Chinese Journal of Ocular Trauma and Occupational Eye Disease
关键词
义眼
结膜瓣遮盖
眼球萎缩
Ocular prosthesis
Covering, eonjunctival flap
Atrophy of eyeball