折叠式人工玻璃体球囊治疗眼球萎缩早期临床观察  

Clinical Application Observation of Foldable Capsular Vitreous Body in the Treatment of Eyeball Atrophy

作　　者：牛科 韩彦辉 孟繁超 吕永斌 于广委 杨小华 王东林 

机构地区：[1]济南明水眼科医院,山东 济南

出　　处：《眼科学》2021年第2期59-63,共5页Hans Journal of Ophthalmology

摘　　要：目的:探讨折叠式人工玻璃体球囊(foldable capsular vitreous body, FCVB)治疗严重眼外伤及硅油依赖眼伴眼球萎缩的安全性及有效性。方法:回顾性分析自2017年8月至2019年10月,在我院完成的FCVB植入于严重眼外伤及硅油依赖眼伴眼球萎缩18例(18眼),其中男性14例,女性4例,最小的2岁,最大的45岁,视力均为无光感,眼压4~8 mmHg,平均6.11 mmHg,眼轴13 mm至19 mm,平均16.5 mm。其中眼外伤4例,外伤术后45天至3个月,硅油眼14例,注入硅油术后6个月至8年。眼外伤患者进行常规三通道玻璃体切除术,硅油眼患者进行常规三通道硅油取出术,将折叠式人工玻璃体折叠并植入玻璃体腔,囊袋内硅油填充。结果:手术均顺利完成,随访至8个月,视力无变化,眼压7~15 mmHg,术后B超显示眼球结构良好,未见视网膜脱离,FCVB回声平滑,未见排斥等并发症,2岁儿童的患眼眼球形态恢复接近健眼。眼球萎缩严重的患者,为美容订制了义眼片,效果满意,佩戴后无不适感觉。结论:FCVB植入是治疗严重眼外伤及硅油依赖眼伴眼球萎缩安全有效的方法,短期内观察可以很好的维持眼球形态和眼压,只要有适应症尽早行FCVB植入术,以尽量预防眼球萎缩的发生。Objective: To investigate the safety and efficacy of foldable capsular vitreous body (FCVB) in the treatment of severe ocular trauma and late silicone oil-dependent eyes with eyeball atrophy. Methods: From August 2017 to October 2019, 14 patients (14 eyes) of FCVB implanted in our hospital with severe ocular trauma and silicone oil-dependent eyes with eyeball atrophy were retrospectively analyzed, including 14 males and 4 females. The youngest is 2 years old and the oldest is 45 years old. The vision acuity of all patients is no light perception, the intraocular pressure is 4~8 mmHg, the average is 6.11 mmHg, the eye axis is 13 mm to 19 mm, the average is 16.5 mm. Among them, 4 cases were ocular trauma after 45 days to 3 months, 14 cases were silicone oil eye after silicone oil injection 6 months to 8 years. Patients with ocular trauma underwent conventional three- channel vitrectomy, and patients with silicone oil underwent conventional three-channel silicone oil removal. The FCVB was implanted into the vitreous cavity, and the FCVB was filled with silicone oil. Results: The operations were all successfully completed. The follow-up was 18 months to 8 months. The visual acuity was unchanged. The intraocular pressure was 8~12 mmHg. The postoperative B- ultrasound showed good eyeball structure, no retinal detachment. Moreover, FCVB-supported fundus was stable and no complication was found. And the reactions were good in postoperative anterior chamber and conjunctiva. The shape of the eyeball of the 2-year-old child’s returned close to that of healthy eye. For patients with severe atrophy of the eyeballs, artificial eye tablets have been customized for beauty, with satisfactory results and no discomfort after wearing. Conclusion: FCVB implantation is a safe and effective method for the treatment of severe ocular trauma and silicone oil-dependent eyes with eyeball atrophy. Short-term observation can well maintain eyeball shape and intraocular pressure. As long as there are indications, FCVB implantation should be p

关 键 词：眼球萎缩 折叠式人工玻璃体 治疗 临床观察 

分 类 号：R47[医药卫生—护理学]