结膜巩膜固定术治疗结膜松弛症的临床观察  

Observation of the effect of conjunctiva sclera fixing surgery for conjunctivochalasis

作　　者：林伟[1] 樊映川[1] 罗又蓉[1] 

机构地区：[1]四川省人民医院眼科,成都610072

出　　处：《中国实用眼科杂志》2005年第11期1221-1222,共2页Chinese Journal of Practical Ophthalmology

摘　　要：目的通过随访观察结膜-巩膜固定术治疗结膜松弛症的手术效果,探讨手术治疗结膜松弛症的新方法.方法手术治疗22例44眼,术后裂隙灯下观察结膜松弛情况,并进行泪膜破裂时间(BUT)、泪河检查和症状评估.结果术后临床治愈38眼(86.36%),BUT≥10秒者31眼(70.45%),泪河连续完整者41眼(93.18%),自觉症状治愈或改善者40眼(90.91%),随访3～24月无一例复发,无一例并发症.结论结膜-巩膜固定术治疗结膜松弛症,效果良好稳定,操作简单,无明显并发症.Objective To present a new surgical technique for conjunctivochalasis by following up and observing the effect of conjunctiva - sclera fixing surgery. Methods 44 eyes of 22 patients with conjunc- tivochalasis were operated by conjunctiva sclera fixing surgery. Follow- up period ranged from 3 to 24 months. BUT test, tear meniscus and symptom improvement were evaluated. Results Conjunctival folds were completely corrected in 38 eyes （86.36%）; BUT≥ 10 seconds in 31 eyes （70,45 % ）; normal tear meniscus reformed in 41 eyes （ 90,91% ） ; symptom improved in 40 eyes （ 90.91% ）. Conclusions We successfully treated conjunctivochalasis with conjunctiva - sclera fixing surgery, which was a simple but effective method, without severed complications.

关 键 词：结膜松弛症 结膜巩膜固定术 疗效 

分 类 号：R777.3[医药卫生—眼科] R683.05[医药卫生—临床医学]