脱细胞牛心包补片在眼球萎缩整形中的应用  

Application of Acellular Bovine Pericardium Patch in Ocular Atrophy

作　　者：马建霞 马朝霞 王彦[2] 刘德成[2] MA Jian-xia;MA Zhao-xia;WANG Yan;LIU De-cheng(Kaifeng Central Hospital Eye Specialist,Kaifeng 475000,Henan,China;Department of Ophthalmology,the Seventh People's Hospital of Zhengzhou,Zhengzhou 450016,Henan,China)

机构地区：[1]开封市中心医院眼病医院,河南开封475000 [2]郑州市第七人民医院眼科,河南郑州450016

出　　处：《中国美容医学》2017年第4期9-11,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨脱细胞牛心包补片在眼球萎缩整形中的临床效果。方法:轻中度眼球萎缩34例(34眼),术中将萎缩眼球的角膜上皮层和角膜缘上皮组织彻底清除,将直径20mm补片覆盖于角巩膜,上方球结膜与眼球筋膜同时向下滑行,覆盖整个补片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:34例轻中度眼球萎缩患者,术后结膜筋膜均覆盖良好,无角膜暴露,佩戴义眼片后无明显异物感及刺激症状,双侧睑裂对称,外观改善良好。结论:轻中度眼球萎缩采用脱细胞牛心包补片治疗,术后角膜不易暴露,佩戴个性化义眼片后无明显异物感及刺激症状。Objective To evaluate the effect of eyeball atrophy Plastic surgery with acellular bovine pericardium patch.Methods Thirty-four patients(34eyes)with mild or moderate ocular atrophy were sacrificed.The corneal epithelium and surrounding tissue were completely removed from the atrophic eyeball,the patch with a diameter of20mm was used to cover the sclera,and the bulbar conjunctiva and the fascia of the eye were sliding down simultaneously,covering the whole patch and fixing it at the lower edge of the cornea.The custom-made artificial eyes were wore1months after operation and follow-up6-24months to observe the effect.Results There were no corneal exposure and foreign body sensation in34cases.The bilateral palpebral fissures were symmetrical and the appearance was improved.Conclusion The treatment of mild or moderate atrophy of eyeball using acellular bovine pericardium patch can make the cornea is not easy to expose after surgery,and no obvious foreign body sensation and irritation symptoms after wearing a personalized implant.

关 键 词：脱细胞牛心包补片 结膜眼球筋膜瓣覆盖术 眼球萎缩 义眼 

分 类 号：R779.6[医药卫生—眼科]