手术消毒致对侧眼表损害

The clinical analysis of contralateral ocular surface injury during preoperative disinfection

目的探讨眼科手术消毒导致对侧眼表损害的原因和防治。方法对21例（21眼）眼科手术0．5％聚维酮碘与75％乙醇消毒致对侧眼表损害进行分析，并给予心理上的疏通和药物治疗。结果消毒液致对侧眼表损害是多因素造成的，经治疗后21例均痊愈。结论眼科手术消毒致对侧眼表损害若能及时发现并正确治疗，可获痊愈；若能采取有效的预防措施，可避免其发生。

Objective To investigate the causes, clinical prevention and treatment of contralateral oular surface injury during eye surgery preoperative disinfection. Methods We retrospectively analyzed 21 cases of contralateral oular surface injury that were caused by 0.5% povidone - iodine and 75% alcohol dur- ing eye surgery preoperative disinfection. They were treated with psychological induction and drug treatment. Results Ocular surface injury caused by disinfectant has multiple risk factors. 21 cases were successfully treated, Conclusion Our investigation suggests that the contralateral ocular surface injury by disinfectant during eye surgery disinfection may be successfully treated with early diagnosis and proper treatment and may be avoided if we can take the effective preventive measure.