角膜绷带镜在重度上睑下垂术后的临床应用效果  

Clinical application effect of corneal bandage lens after surgery of severe ptosis

作　　者：王婷 姜艳华 WANG Ting;JIANG Yan-hua(Department of Ophthalmology,Shenyang Fourth People′s Hospital,Liaoning Province,Shenyang 110031,China)

机构地区：[1]沈阳市第四人民医院眼科,辽宁沈阳110031

出　　处：《中国当代医药》2021年第35期151-153,157,共4页China Modern Medicine

基　　金：辽宁省自然基金资助计划项目(2020-MS-330);辽宁省沈阳市科技计划项目(20-205-4-051)。

摘　　要：目的探讨角膜绷带镜在重度上睑下垂术后的临床应用效果。方法选取2017年12月至2020年12月于沈阳市第四人民医院眼整形美容中心采用联合筋膜鞘悬吊联合提上睑肌缩短术矫正重度上睑下垂的166例患者(248只眼)作为研究对象,采用随机数字表法分为观察组和对照组,每组各83例(124眼)。观察组佩戴角膜绷带镜,对照组未佩戴角膜绷带镜,比较两组患者角膜染色情况及术后疼痛情况。结果观察组术后1、7、20 d的角膜染色评分均低于对照组,差异有统计学意义(P<0.05);观察组术后1、7、20 d的视觉模拟评分法评分低于对照组,差异有统计学意义(P<0.05)。结论角膜绷带镜能够显著缓解上睑下垂术后患者的疼痛症状,保护术后早期眼睑闭合不全引起的角膜上皮缺损,避免术后暴露性角膜炎的发生,显著改善上睑下垂患者的术后不适症状,值得临床推广。Objective To investigate the protective effect of corneal bandage lens after surgery of severe ptosis.Methods A total of 166 patients(248 eyes)with severe ptosis were selected from the Ophthalmic Plastic Surgery Center,Shenyang Fourth People′s Hospital from December 2017 to December 2020,who were treated with combination of fascia sheath suspension and levator palpebrae shortening.They were divided into the observation group and the control group by the random number table method,with 83 patients(124 eyes)in each group.The observation group was wearing corneal bandage lens,and the control group was not wearing corneal bandage lens.After a month of follow-up,the corneal staining and postoperative pain were compared between the two groups.Results The corneal staining scores of the observation group were lower than those of the control group at 1,7 and 20 days after surgery,and the differences were statistically significant(P<0.05).The visual analogue scale scores in the observation group were lower than those in the control group at 1,7 and 20 days after surgery,and the differences were statistically significant(P<0.05).Conclusion Corneal bandage lens can significantly relieve the postoperative pain symptoms of patients with ptosis,protect the corneal epithelial defect caused by early postoperative hypophasis or lagophthalmus,avoid the occurrence of postoperative exposure keratitis,and significantly relieve the postoperative discomfort symptoms of patients with ptosis,which is worthy of clinical promotion.

关 键 词：暴露性角膜炎 角膜绷带镜 上睑下垂 

分 类 号：R779.6[医药卫生—眼科]