一种用于治疗结膜松弛症的新手术技术。
A new surgical technique for management of conjunctivochalasis.
作者信息
Otaka I, Kyu N
机构信息
Department of Ophthalmology, Shizuoka Red Cross Hospital, Shizuoka, Japan.
出版信息
Am J Ophthalmol. 2000 Mar;129(3):385-7. doi: 10.1016/s0002-9394(99)00384-0.
PURPOSE
To present a new surgical technique for severe, symptomatic conjunctivochalasis and our hypothesis of the pathogenesis of this condition.
METHODS
Six eyes of three patients with conjunctivochalasis (average age +/-SD, 70.0 +/- 9.6 years; range, 56-78 years) were treated with a conjunctival fixation to sclera with three 6-0 Vicryl (Johnson & Johnson, New Brunswick, New Jersey) stitches.
RESULTS
With a mean follow-up period of 209.5 days (range, 181-219 days), we achieved successful treatment in all eyes, with no recurrence of conjunctival folds.
CONCLUSION
We successfully treated conjunctivochalasis with conjunctival fixation to sclera, which strongly suggests that conjuctival folds are caused by the folding and the elevating of loosely adherent bulbar conjunctiva of the lower eyelid.
目的
介绍一种针对严重症状性结膜松弛症的新手术技术以及我们对该病症发病机制的假设。
方法
对3例结膜松弛症患者的6只眼（平均年龄±标准差，70.0±9.6岁；范围56 - 78岁）采用3针6-0薇乔缝线（强生公司，新泽西州新不伦瑞克）将结膜固定于巩膜。
结果
平均随访期为209.5天（范围181 - 219天），所有术眼均治疗成功，结膜皱襞无复发。
结论
我们通过结膜固定于巩膜成功治疗了结膜松弛症，这有力地表明结膜皱襞是由下睑球结膜疏松附着部位的折叠和隆起所致。
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