CAJ | 학술논문

目的：探讨保留眼球的新增涤纶补片遮盖术后佩戴薄壳义眼治疗轻、中度眼球萎缩的临床效果及安全性。方法：对32例（32眼）轻、中度眼球萎缩且眼内无活动病变的患者行角膜及角巩缘板层切除术联合心脏涤纶补片角膜遮盖术，术后透明义眼片支撑结膜囊，术后4～6周佩戴薄壳义眼。结果：随访6～24月。32例（32眼）无结膜瓣回退、切口裂开及上皮植入性囊肿，无异物感或感染等并发症发生。佩戴薄壳义眼有一定活动度，外观改善良好。结论：对轻、中度眼球萎缩且无眼内活动性病变的患者，行角膜及角巩缘板层切除联合心脏涤纶补片遮盖术后佩戴薄壳义眼，可获得良好的美容效果。
목적：탐토보류안구적신증조륜보편차개술후패대박각의안치료경、중도안구위축적림상효과급안전성。방법：대32례（32안）경、중도안구위축차안내무활동병변적환자행각막급각공연판층절제술연합심장조륜보편각막차개술，술후투명의안편지탱결막낭，술후4～6주패대박각의안。결과：수방6～24월。32례（32안）무결막판회퇴、절구렬개급상피식입성낭종，무이물감혹감염등병발증발생。패대박각의안유일정활동도，외관개선량호。결론：대경、중도안구위축차무안내활동성병변적환자，행각막급각공연판층절제연합심장조륜보편차개술후패대박각의안，가획득량호적미용효과。
Objective To explore new dacron patch retain eye cure postoperative wear thin shell cover righteousness for the treatment of mild and moderate eyeball atrophy clinical effect and safety. Meth?ods Among 32 cases (32 eyes) with mild and moderate eyeball atrophy patients without active le?sions in eyes take cornea and angle resection margin plate layer joint heart dacron patch covering cornea,postoperative transparent support the eye piece of conjunctival sac,4-6 weeks after wearing a thin shell of righteousness. Results Random access 6-24 months,32 cases (32 eyes) with con?junctival flap back, incision dehiscence and epithelial implantation cyst, there was no foreign body sensation or complications such as infection.Wearing a thin shell prosthesis had a certain activity, and the appearance improved well. Conclusion For mild and moderate eyeball atrophy patients without active lesions in eyes, take cornea and Angle resection combined heart dacron patch to cover flange layer after wearing thin shell the eye, can get a good cosmetic effect.