埋线法重睑成形术后缝线暴露造成角膜和结膜损伤1例  

A case of corneal and conjunctival damage caused by suture exposure after buried-suture clouble-eyelid blepharoplasty

作　　者：李淑敏 金鑫[1] 张南[1] 张弘 Li Shumin;Jin Xin;Zhang Nan;Zhang Hong(Eye Hospital,The First Affiliated Hospital of Harbin Medical University,Harbin 150007,China)

机构地区：[1]哈尔滨医科大学附属第一医院眼科医院,哈尔滨150007

出　　处：《中华眼科杂志》2025年第2期131-134,共4页Chinese Journal of Ophthalmology

基　　金：国家自然科学基金(U20A20363)。

摘　　要：52岁女性患者因双眼埋线法重睑成形术后左眼缝线暴露,出现眼红伴眼痛1年余。在外院多次就诊,被诊断为左眼角膜炎、左眼结膜肿物,经抗炎、抗感染治疗,病情反复。于哈尔滨医科大学附属第一医院眼科医院就诊后取出暴露缝线,半年后复查,左眼结膜肉芽肿消失,角膜溃疡病灶转变为角膜薄翳。该病例提示眼科医生应对有重睑手术史患者进行详细眼部查体,及时发现并处理缝线暴露问题,以改善预后。A 52-year-old female patient experienced red eyes and eye pain for more than one year due to suture exposure in the left eye after double eyelid plasty with the embedding suture method.She visited several hospitals outside and was diagnosed with keratitis and conjunctival mass in the left eye.After anti-inflammatory and anti-infection treatments,the condition relapsed.She visited our hospital,and the exposed suture was removed.After a review half a year later,the conjunctival granuloma in the left eye disappeared,and the corneal ulcer lesion transformed into corneal pannus.This case suggests that ophthalmologists should conduct detailed eye examinations for patients with a history of double eyelid plasty,discover and handle suture exposure problems in time to improve prognosis.

关 键 词：缝线 手术后并发症 角膜炎 结膜疾病 肉芽肿 埋线法重睑成形术 

分 类 号：R73[医药卫生—肿瘤]