结膜瓣覆盖术治疗眼球萎缩52眼临床观察

Clinical Observation of Conjuntival Flap Covering Operation FOR Eyeball Atrophy Patients

目的分析板层角膜切削后结膜瓣覆盖术在眼球萎缩患者治疗中的效果.方法对2011年至2013年内来云南省红十字会医院就诊的52例52眼的眼球萎缩患者实施角膜板层切削后结膜瓣覆盖术,随访观察术后外观改善,并发症,眼球稳定情况,分析此手术方式的适应证及有效性.结果 52例52眼患者外观满意,1例术后2周发生轻度结膜回退,修补后愈合良好,1例术后21月因眼球进一步萎缩患者不满意饱满度再次行球内容物剜除及义眼座植入,1例术后8月外伤致眼球破裂行球内容物剜除及义眼座植入术.结论角膜板层切削后结膜瓣覆盖术是治疗眼球轻到中度萎缩的一种有效可行方法,手术成功的关键在于术前筛查对手术适应症的把握及精细的手术操作.

Objective To analyze the outcome of eyeball atrophy patients after the corneal laminal cutting and conjunctiva flap covering operation. Method 52 eyes of 52 patients with eyeball atrophy in our hospital in 2 years were treated with corneal laminal cutting and conjunctiva flap covering operation, then we observed the cosmetic appearance, complications, and analyzed the effectiveness and feasibility of the operation. Results 52 patients were satisfied with the cosmetic consequences, 1 patient got mild conjunctiva retraction and were cured after repair, 1 patients received evisceration and orbit implantation 21 months later by the reason of progressing eyeball atrophy, 1 patients received evisceration and orbit implantation 8 months later by the reason of eyeball rupture caused by trauma. Conclusion The operation of corneal lamina] cutting and conjunctiva flap covering is an effective way to the mild to moderate eyeball atrophy patients, the keys of a successful surgery include screening proper patients and operating carefully.