CAJ | 학술논문

目的探讨泪道阻塞合并结膜松弛引起的溢泪,行泪道激光联合改良结膜松弛矫正术的临床效果.方法 2011年10月至2012年10月在天津爱尔眼科医院行泪道激光联合改良结膜松弛矫正术28例(42眼).分析其治疗溢泪的临床效果、并发症及其手术要点,并与分期手术进行对比.结果 42眼中治愈6眼,明显好转25眼,好转10眼,无效1眼,总有效率为97.6％.并发症包括泪道阻塞复发15眼,但其中14眼溢泪症状亦明显改善;治愈病例中有2眼出现轻度干眼.手术效果与分期手术者无明显差异.结论泪道激光联合改良结膜松弛矫正术治疗溢泪有效,术后并发症少.改良结膜松弛矫正术的手术要点是处理眼球筋膜囊,并将其与浅层巩膜固定.
목적 탐토루도조새합병결막송이인기적일루,행루도격광연합개량결막송이교정술적림상효과.방법 2011년10월지2012년10월재천진애이안과의원행루도격광연합개량결막송이교정술28례(42안).분석기치료일루적림상효과、병발증급기수술요점,병여분기수술진행대비.결과 42안중치유6안,명현호전25안,호전10안,무효1안,총유효솔위97.6％.병발증포괄루도조새복발15안,단기중14안일루증상역명현개선;치유병례중유2안출현경도간안.수술효과여분기수술자무명현차이.결론 루도격광연합개량결막송이교정술치료일루유효,술후병발증소.개량결막송이교정술적수술요점시처리안구근막낭,병장기여천층공막고정.
Objective To evaluate the efficacy of lacrimal passage laser and improved conjunctivochalasis correction in treatment of epiphora caused by lacrimal passage obstruction and conjunctivochalasis.Methods 42 eyes of 28 cases treated by lacrimal passage laser and improved conjunctivochalasis correction from October 2011 to October 2012 in Tianjin Aier Eye Hospital were collected.The clinical effects,complications and key points of the surgery were analysed,and they were compared with staging operation.Results Six eyes recovered,25 eyes were improved markedly,10 eyes were improved and 1 eye was invalid.Total effective rate was 97.6％.The lacrimal passage obstruction recurred in 15 eyes,however the epiphora in 14 eyes of them was improved.Two eyes of recovered cases were complicated with mild dry eye symptom.And there was no difference between the effect of one-stage surgery and that of staging operations.Conclusion The lacrimal passage laser and improved conjunctivochalasis correction is a safe,effective,easy procedure for epiphora.The key points of improved conjunctivochalasis correction are the management of Tenon's capsule and its fixation on superficial sclera.