中华眼外伤职业眼病杂志
中華眼外傷職業眼病雜誌
중화안외상직업안병잡지
CHINESE JOURNAL OF OCULAR TRAUMA AND OCCUPATIONAL EYE DISEASE
2012年
12期
929-930
,共2页
崔宏宇%范肃洁%郭黎霞%张志宏%韩伟%赵邯英%曹志刚%路平%柴利红%王瑞红
崔宏宇%範肅潔%郭黎霞%張誌宏%韓偉%趙邯英%曹誌剛%路平%柴利紅%王瑞紅
최굉우%범숙길%곽려하%장지굉%한위%조함영%조지강%로평%시리홍%왕서홍
无菌空气%角膜穿孔伤%显微缝合术
無菌空氣%角膜穿孔傷%顯微縫閤術
무균공기%각막천공상%현미봉합술
Air,sterile%Injury,corneal,penetrating%Suture,microscopic
目的 探讨无菌空气在角膜穿孔伤显微缝合手术中的应用价值.方法 对64例(64眼)角膜穿孔伤,在术中角膜伤口缝合完毕经角膜伤口或经术前预置的角膜缘前房穿刺口注入无菌空气,充填前房,恢复虹膜,解除虹膜前粘连.观察术后半年患者视力、角膜、虹膜等恢复情况及眼压情况.结果 术后观察半年,64例眼球全部保留,视力均有不同程度提高,仅1例于角膜缘处发生点状前粘连,无一例出现继发性青光眼.结论 角膜穿孔伤显微缝合术中向前房内注入无菌空气可以帮助充填前房、恢复虹膜,解除并防止虹膜前粘连,降低继发性青光眼的发病机率.
目的 探討無菌空氣在角膜穿孔傷顯微縫閤手術中的應用價值.方法 對64例(64眼)角膜穿孔傷,在術中角膜傷口縫閤完畢經角膜傷口或經術前預置的角膜緣前房穿刺口註入無菌空氣,充填前房,恢複虹膜,解除虹膜前粘連.觀察術後半年患者視力、角膜、虹膜等恢複情況及眼壓情況.結果 術後觀察半年,64例眼毬全部保留,視力均有不同程度提高,僅1例于角膜緣處髮生點狀前粘連,無一例齣現繼髮性青光眼.結論 角膜穿孔傷顯微縫閤術中嚮前房內註入無菌空氣可以幫助充填前房、恢複虹膜,解除併防止虹膜前粘連,降低繼髮性青光眼的髮病機率.
목적 탐토무균공기재각막천공상현미봉합수술중적응용개치.방법 대64례(64안)각막천공상,재술중각막상구봉합완필경각막상구혹경술전예치적각막연전방천자구주입무균공기,충전전방,회복홍막,해제홍막전점련.관찰술후반년환자시력、각막、홍막등회복정황급안압정황.결과 술후관찰반년,64례안구전부보류,시력균유불동정도제고,부1례우각막연처발생점상전점련,무일례출현계발성청광안.결론 각막천공상현미봉합술중향전방내주입무균공기가이방조충전전방、회복홍막,해제병방지홍막전점련,강저계발성청광안적발병궤솔.
Objective To investigate the application of sterile air in operation of penetrating corneal injury.Methods Sixty-four patients with penetrating corneal injury were selected.In order to fill the anterior chamber,recover the iris and prevent the iris anterior synechia,the patients were injected sterile air from corneal wound or the limbal anterior chamber paracentesis after stitching the injury.Their recovery of vision,cornea,iris and their intraocular pressure were observed after 6-month follow-up.Results After 6-month follow-up,64 cases of eyeball were reserved,the visual acuity increased in different degrees,limbal adhesion occurred in 1 case,there was no secondary glaucoma in the observation group.Conclusion The application of sterile air in the surgery for penetrating corneal injury can help fill the anterior chamber,recover the iris and prevent the iris anterior synechia.It can reduce the occurrence of secondary glaucoma.
