改良结膜筋膜覆盖角膜术在眼球萎缩整形中的应用  

Application of improved conjunctival and balbar fascia flap cornea coverlaying in traumatic atrophic eyeball for anaplasty

作　　者：刘凤霞 张松 王彦[2] 刘德成[2] 

机构地区：[1]郑州市第九人民医院眼科,郑州450000 [2]郑州市第七人民医院眼科,郑州450016

出　　处：《中华眼外伤职业眼病杂志》2016年第10期790-793,共4页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的探讨保留外伤性萎缩眼球配戴薄型义眼的方法与临床效果。方法轻中度外伤眼球萎缩32例（32眼）。术中将萎缩眼球的角膜浅层基质和角膜缘上皮组织彻底清除，将上方球结膜和眼球筋膜同时向下滑行，覆盖整个角膜并固定于下方角膜缘，与下方眼球筋膜及结膜缝合。术后1个月定做义眼片佩戴，随访6—24个月，观察其效果。结果32例结膜筋膜覆盖良好，无角膜暴露，患者无异物感，双侧睑裂对称，外观改善满意。结论轻中度外伤性眼球萎缩采用改良结膜眼球筋膜瓣覆盖角膜，术后愈合良好，角膜不暴露，结膜囊成形好，佩戴个性化义眼片，可达到美容效果。Objective To investigate the method and clinical effect of wearing thin-walled ocular prosthesis after conjunctival and bulbar fascia flap coverlaying surgery of traumatic atrophic eyeball. Methods Total 32 eyes of 32 patients with mild-to-moderate traumatic atrophic eyeball were treated. In the operation, the superficial parenchyma of cornea and limbus epithelial tissue of atrophic eyeball were thoroughly removed, the above bulbar conjunetiva and bulbar fascia flap were slid downward to cover the whole cornea and fixed in the inferior limbus, and sutured with fascia and conjunctiva below. At 1 month postoperatively, customized personalized ocular prosthesis was used. The follow-up time was 6 - 24 months and the curative effect was observed. Results The conjunctiva fascia coverage of 32 patients were good without corneal exposure or foreign body sensation. The improved appearance was satisfactory. Conclusion Applying complete conjunctiva fascia flap to cover cornea in mild-to-moderate traumatic atrophic eyeball is effective. The healing of postoperative fascia and cornea is good, and the cornea is not exposed . The cosmetic effect of wearing personalized ocular prosthesis is good.

关 键 词：结膜眼球筋膜瓣覆盖术 眼球萎缩 外伤性 义眼 

分 类 号：R779.6[医药卫生—眼科]