无菌空气在角膜穿孔伤修复手术中的应用  

The application of sterile air in penetrating corneal injury repairing

作　　者：崔宏宇[1] 范肃洁[1] 郭黎霞[1] 张志宏[1] 韩伟[1] 赵邯英[1] 曹志刚[1] 路平[1] 柴利红[1] 王瑞红[1] 

机构地区：[1]邯郸市眼科医院,河北邯郸056001

出　　处：《中华眼外伤职业眼病杂志》2012年第12期929-930,共2页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：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。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 ante- rior 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.

关 键 词：无菌空气 角膜穿孔伤 显微缝合术 

分 类 号：R779.6[医药卫生—眼科]