Végh M
Department of Ophthalmology, Albert Szent-Györgyi Medical University, Hungary.
Ger J Ophthalmol. 1992;1(3-4):135-8.
Recurrent corneal erosion can develop after superficial trauma and can prove unresponsive to traditional forms of conservative treatment. Over the past 5 years, we have treated 17 unilateral cases with our own surgical technique. The following method was applied for treatment: under an operating microscope the separated corneal epithelium was excised with microforceps and Vannas microscissors. After this, the underlying hypertrophic basement membrane was peeled off Bowman's membrane with a foreign body needle and excised at the rim with Vannas microscissors. The site of hyalin-like formation adhering on the area of Bowman's membrane was next carefully scraped with the foreign body needle. Following this procedure, a dressing lens was fitted to the eye. In 2 cases recurrences occurred, but the healing process was successful in these cases after treatment. With this simplified microsurgical procedure, the recurrent corneal erosion was curable. Through the application of dressing lenses, the danger of recurrence was eliminated, and the healing process was considerably shortened.
复发性角膜糜烂可在浅层创伤后发生，并且可能对传统的保守治疗方法无反应。在过去5年中，我们用自己的手术技术治疗了17例单侧病例。采用以下方法进行治疗：在手术显微镜下，用微型镊子和万纳显微剪切除分离的角膜上皮。此后，用异物针将下方肥厚的基底膜从Bowman膜上剥离，并在边缘用万纳显微剪切除。接下来，用异物针仔细刮除附着在Bowman膜区域的透明样形成部位。在此操作之后，给眼睛戴上敷料镜片。有2例出现复发，但这些病例在治疗后愈合过程成功。通过这种简化的显微手术，复发性角膜糜烂是可治愈的。通过使用敷料镜片，消除了复发的危险，并且愈合过程大大缩短。
