CAJ | 학술논문

目的探讨用自体眼球筋膜囊组织修补外伤性角膜组织缺损的手术方法及效果.方法外伤性角膜组织缺损11例(11眼),首先将角膜伤口进行对位缝合,于角膜缺损处预置缝线,取自体结膜下组织(眼球筋膜囊)适量,填补于角膜缺损处,结扎预置缝线并加固缝合,对修补部位同时做结膜遮盖.术后观察角膜平滑程度、伤口密闭情况、眼压以及修补区局部变化.结果本组所有患眼术后角膜伤口均达到水密,角膜无明显皱褶,术后前房形成良好,眼压恢复正常,无伤口感染或眼内炎发生.随访观察1～6个月,眼球筋膜囊组织均成活,并逐渐瘢痕化及新生血管长入,上皮修复良好,无排斥反应、眼球筋膜囊组织自融或局部角膜膨隆发生.结论用自体眼球筋膜囊修复角膜组织缺损,材料来源容易、手术效果可靠,是治疗外伤性角膜部分缺损较好的手术方法.
목적 탐토용자체안구근막낭조직수보외상성각막조직결손적수술방법급효과.방법 외상성각막조직결손11례(11안),수선장각막상구진행대위봉합,우각막결손처예치봉선,취자체결막하조직(안구근막낭)괄량,전보우각막결손처,결찰예치봉선병가고봉합,대수보부위동시주결막차개.술후관찰각막평활정도、상구밀폐정황、안압이급수보구국부변화.결과 본조소유환안술후각막상구균체도수밀,각막무명현추습,술후전방형성량호,안압회복정상,무상구감염혹안내염발생.수방관찰1～6개월,안구근막낭조직균성활,병축점반흔화급신생혈관장입,상피수복량호,무배척반응、안구근막낭조직자융혹국부각막팽륭발생.결론 용자체안구근막낭수복각막조직결손,재료래원용역、수술효과가고,시치료외상성각막부분결손교호적수술방법.
Objective To explore the effect of gap-filling repair for traumatic corneal coloboma with autogenous Tenon' s capsule.Methods 11 cases( 11 eyes) with coneal coloboma due to ocular trauma were studied.The corneal wound was sutured on the bit,pre-placed suture,gap-filling repaired with autogenous Tenon' s capsule,covered up with conjunctival flap.Coneal smoothness,wound obturation,intraocular pressure and the local change of the patch were observed after surgery.Results All the coneal wound were watertight,no obvious plica appeared,the anterior chamber were formed normaly,the intraocular pressure recovered,and no wound infection or endophthalmitis occurred after surgery.In 1 ～ 6 month' s follow up,the Tenon's capsule tissue were alive and gradually scarring with neovascularization,and epithelium were repaired.No rejection,Tenon' capsule tissue autolysis or local corneal bulge occurred.Conclusion Gap-filling repair of the corneal coloboma due to ocular trauma with autogenous Tenon' s capsule is a ideal method.The Tenon' s capsule is easily obtained,and the surgical effect is reliable.