羊膜移植治疗严重眼烧伤后的睑球粘连

Amniotic membrane transplantation for treatment of symblepharon by severe eye burn

目的:探讨羊膜移植在治疗严重眼烧伤后的睑球粘连眼表成型中的方法及效果。方法:化学烧伤或热烧伤后结膜囊狭窄、睑球粘连、结角膜假性胬肉等引起眼表变形、泪液动力学改变、眼球运动障碍等患者应用羊膜移植行结膜囊重建及眼表成型。结果:患者23例随访4～27mo,2例结角膜假性胬肉再次复发,但结膜囊缩短好转;4例轻度、2例中度结膜囊缩短;其余患者均能较好的重建眼表。结论:羊膜移植治疗严重眼烧伤后的睑球粘连眼表成型的效果良好。

AIM：To investigate the methods and effects of Amniotic membrane transplantation for treatment of symblepharon by severe eye burns. METHODS：Chemical burns or thermal burns could lead to conjunctival sac stenosis and symblepharon,which caused pseudo-deformation of eye surface, tear dynamics change and eyeball movement disorders.This study uesd amniotic membrane transplantation for reconstruction the ocular surface shape and conjunctival sac. RESULTS：Twenty-three patients were followed up for 4 to 27 months,corneal pseudopterygium recurred for 2 patients, but the conjunctival sacs were improved, and conjunctival sac were reduced in 4 mild patients and 2 moderate; the other patients could better reconstruct ocular surface. CONCLUSION：Amniotic membrane transplantation has a better effect in the treatment for ocular surface shape of symblepharon because of severe eye burns.