玻璃酸钠在角膜穿孔伤缝合手术中的应用

Application of Sodium Hyaluronate in Suture of Corneal Perforating Injury

目的评价在角膜穿孔伤Ⅰ期清创缝合术中玻璃酸钠的作用。方法将玻璃酸钠用于50例、50眼角膜穿孔伤行Ⅰ期缝合手术中,并观察其疗效。结果角膜穿孔伤50例,术后前房形成良好,瞳孔基本保持圆形,无1例发生前粘连。角膜伤口对合平整,无严重眼内炎症反应。结论在角膜穿孔伤Ⅰ期缝合术中应用玻璃酸钠有利于保持前房的深度,保护眼内组织,安全有效地处理并发症。

objective To evaluate the effect of sodium hyaluronate in the Ⅰ-stage debridement and suture of corneal perforating injury. Methods Fifty cases（50 eyes） were treated with sodium hyaluronate in the debridement and suture of corneal perforating injury and the effect of sodium hyaluronate was observed. Results After the operation, all eyes with corneal perforating injury had a good formation of anterior chamber, approximately kept round pupil and no one had anterior synechiae. The wound of cornea was annealed well and no serious endophthalmitis occurred. Conclusion The application of sodium hyaluronate in the Ⅰ-stage debridement and suture of corneal perforating injury can help keep the depth of anterior chamber and protect ocular tissues for safely and effectively treating the complication.